晚期食道胃癌患者的心理社会功能:混合方法系统审查
Cara Ghiglieri1, Martin Dempster2, Sam Wright2
1Centre for Improving Health-Related Quality of Life, School of Psychology, Queen's University Belfast, Belfast, BT7 1NN, Northern Ireland. cduggan07@qub.ac.uk.
BMC palliative care
|October 27, 2023
概括
本综述综合了关于晚期食道胃癌患者心理社会功能方面的证据. 影响患者福祉的关键因素包括身体,心理和存在的挑战,以及对护理的正常性和连续性的需求.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 息护理研究 息护理研究
背景情况:
- 晚期食道胃癌带来了重大挑战,包括高复发率和死亡率.
- 精神社会功能下降在晚期是常见的,但有助于因素仍未得到充分研究.
- 了解这些因素对于有效的临床评估和息护理干预至关重要.
研究的目的:
- 系统地审查和综合现有关于晚期食道胃癌患者及其照顾者的心理社会功能证据.
- 在这个患者群体中确定与心理社会福祉相关的因素.
- 为临床实践和未来研究方向提供信息.
主要方法:
- 乔安娜·布里格斯研究所 (JBI) 的混合方法系统审查进行了.
- 在四个主要的文献数据库中进行了搜索:MEDLINE,Embase,PsycINFO和CINAHL.
- 进行了定量和定性研究的选,进行了批判性评估,并使用JBI工具提取数据进行混合方法审查,采用融合分离的合成方法.
主要成果:
- 包括12项研究 (6项定量,6项定性),仅关注患者的观点,因为没有发现护理人员数据.
- 定量发现表明心理社会功能与物理,生物,心理和宏观层面的上下文因素之间的关联.
- 定性发现突出了造成痛苦的身体,心理和存在挑战,患者强调正常,控制,连续性和结构的重要性,经常报告护理准入问题.
结论:
- 进一步高质量的研究对于优化晚期食道胃癌患者的息护理至关重要.
- 建议进行心理社会干预,全面的症状管理,并确保护理的连续性,以提高患者的心理社会功能.
- 这些发现强调了需要采用综合护理方法来解决患有晚期食道胃癌的患者多方面的需求.
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