Decision aids for stroke prevention in patients with atrial fibrillation: a scoping review
10.3760/cma.j.cn115682-20241129-06563
- VernacularTitle:决策辅助工具在房颤患者卒中预防应用中的范围综述
- Author:
Bochen WANG
1
;
Yuming HU
1
;
Jing LI
1
Author Information
1. 中国医学科学院北京协和医学院护理学院，北京 100144
- Publication Type:Journal Article
- Keywords:
Review;
Atrial fibrillation;
Stroke;
Prevention;
Decision aids
- From:
Chinese Journal of Modern Nursing
2025;31(18):2514-2520
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct a scoping review of the content, formats, outcome indicators, and application effects of decision aids used for stroke prevention in patients with atrial fibrillation, in order to inform future development and implementation of such tools.Methods:Following the 2020 methodology guidelines for scoping reviews from the Joanna Briggs Institute, a systematic search was performed in PubMed, Web of Science, Embase, CINAHL, Wanfang Data, China National Knowledge Infrastructure, VIP, and China Biology Medicine disc from inception to October 11, 2024.Results:A total of 13 studies were included, comprising 7 randomized controlled trials, 3 quasi-experimental studies, and 3 mixed-methods studies. The formats of decision aids included paper-based tools, web-based platforms, and mobile applications. The content involved disease education, risk prediction, comparison of preventive options, exploration of patient values, and personalized communication. Multiple studies reported that decision aids reduced decisional conflict, improved patient satisfaction with decision-making, positively influenced patient health, and were highly feasible.Conclusions:Decision aids for stroke prevention in patients with atrial fibrillation are effective in enhancing decision quality and facilitating shared decision-making. Future research should further focus on the impact of such tools on patients' stroke prevention strategy choices, long-term treatment adherence, and clinical outcomes, thereby improving the effectiveness of stroke prevention in this population.
