改善晚期癌症患者护理人员结果的干预措施:元分析
Ronald Chow1,2, Jean J Mathews3, Emily YiQin Cheng1,2
1Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Journal of the National Cancer Institute
|June 6, 2023
概括
支持干预措施显著改善了晚期癌症患者的家庭护理人员的生活质量 (QOL) 和心理健康. 这些发现支持常规实施此类计划,以改善护理人员的福祉.
科学领域:
- 在瘤学瘤学.
- 护理人员支持护理人员支持
- 心理健康研究 心理健康研究
背景情况:
- 晚期癌症患者的家庭照顾者经常经历生活质量下降 (QOL) 和心理健康挑战.
- 需要评估旨在支持这些护理人员的干预措施.
研究的目的:
- 评估支持干预措施对晚期癌症患者家庭护理人员的质量生活和心理健康结果的有效性.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 搜索包括主要的数据库 (MEDLINE,EMBASE,Cochrane CENTRAL,CINAHL) 到2021年6月.
- 主要结局包括QOL,身体和精神健康,焦虑和抑郁症在干预后1-3个月.
主要成果:
- 对49项试验 (8554名护理人员) 的分析显示,在1-3个月内,整体QOL (SMD=0.24),精神健康 (SMD=0.14),焦虑 (SMD=0.27) 和抑郁 (SMD=0.34) 显著改善.
- 针对护理人员,双层或患者/家庭的干预措施显示出积极的影响.
- 叙事综合表明,护理人员的自我效能和悲伤有所改善.
结论:
- 专注于护理人员,双层或患者/家庭的干预措施有效地提高了护理人员的QOL和心理健康.
- 结果倡导定期实施支持性干预措施,以改善晚期癌症患者护理人员的福祉.
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