针对晚期癌症患者的远程医疗缓解护理干预措施:范围审查
Jean Jacob Mathews1, Ronald Chow2,3, Erica Wennberg3,4
1Division of Palliative Medicine, Department of Medicine and Department of Oncology, Queen's University, Kingston, Ontario, Canada.
远程医疗缓和治疗晚期癌症往往涉及精神教育内容,改善心理症状. 然而,缺乏详细的干预报告,需要为多学科护理提供更好的研究设计.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 远程医疗服务是远程医疗服务.
- 在瘤学瘤学.
背景情况:
- 远程医疗的利用正在增加,以便在不需要旅行的情况下与患者联系.
- 息治疗旨在改善晚期疾病患者的生活质量.
研究的目的:
- 描述COVID-19前晚期癌症患者的远程医疗缓和护理干预措施.
- 确定与改善结果相关的干预组件.
- 评估这些干预措施的报告质量.
主要方法:
- 对5个医疗数据库的范围审查 (成立至2020年6月).
- 纳入标准:患有晚期癌症的成年人,远程医疗缓和护理,任何环境.
- 使用干预描述和复制模板 (TIDieR) 检查清单评估报告质量.
主要成果:
- 包括23项研究:15项定量研究,4项混合研究,4项定性研究.
- 大多数混合干预都是由护士领导的家庭干预,主要是在北美.
- 精神教育内容与改善的心理症状有关.
结论:
- 远程医疗缓和护理研究应反映多学科,以团队为基础的护理.
- 未来的研究需要改善在不同环境中对干预措施的报告.
- 加强报告对于了解有效的远程医疗缓和护理策略至关重要.
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