针对大脑瘤成年人个性和行为变化的心理社会干预:一个范围审查
Emma McDougall1, Lauren J Breen2,3, Anna K Nowak4,5
1Faculty of Health Sciences, Curtin School of Nursing/Curtin Health Innovation Research Institute (CHIRI), Curtin University, Perth, WA, Australia.
Neuro-oncology practice
|September 18, 2023
概括
这次审查发现,缺乏心理社会干预措施来管理大脑瘤患者及其照顾者的个性和行为变化. 这些有限的研究显示了一些改善,但样本大小小,随访时间短.
科学领域:
- 神经瘤学神经瘤学
- 心理学 心理学 心理学
- 行为科学 行为科学
背景情况:
- 大脑瘤会导致显著的人格和行为变化,影响患者及其家人.
- 管理诸如攻击性,冷漠,偏执,无抑制和情绪不稳定等症状对于生活质量至关重要.
- 需要了解现有的心理社会干预措施来应对这些挑战.
研究的目的:
- 描述心理社会干预对脑瘤患者个性和行为变化的特征.
- 评估这些干预措施对患者结果的有效性.
- 探索干预措施对护理人员结果的影响.
主要方法:
- 根据乔安娜·布里格斯研究所 (JBI) 和PRISMA-ScR指南进行范围审查.
- 在 PsycINFO,CINAHL,Medline 和 Scopus 数据库中进行的搜索.
- 综合了1996年至2022年间发表的5项符合条件的研究,包括叙事综合和摘要表.
主要成果:
- 确定了五种不同的心理社会干预,它们的持续时间,交付和设置各不相同.
- 干预报告了针对患者的目标人格和行为变化症状的改善.
- 两项研究表明,护理人员的知识得到了改善,痛苦减少,所有研究的样本大小都很小 (<100名参与者).
结论:
- 对于脑瘤相关的个性和行为变化,心理社会干预措施的可用性存在重大差距.
- 需要进一步研究更大的样本大小和更长的随访,以建立有效的干预措施.
- 对患者及其照顾者的支持对于管理这些复杂的变化至关重要.
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