什么是"早期缓和护理"干预? 对瘤学中受控研究的范围审查
Stephan Nadolny1,2, Eva Schildmann3,4, Elena S Gaßmann1
1Institute for History and Ethics of Medicine, Interdisciplinary Center for Health Sciences, Martin Luther University Halle-Wittenberg, Halle, Germany.
Cancer medicine
|October 30, 2023
概括
早期息治疗 (EPC) 改善了癌症患者的健康状况,但其组成部分和有效性因患者群体而异. 本次审查强调了需要标准化的报告,以开发更好的EPC干预措施.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 建议癌症患者提供早期息治疗 (EPC).
- 然而,EPC干预措施因组件和目标人群而异.
- 对于不同患者群体,有助于EPC有效性的具体因素尚不清楚.
研究的目的:
- 进行早期息护理干预的结构化分析.
- 确定EPC中使用的组件和结果指标.
- 了解EPC干预的多样性.
主要方法:
- 在多个数据库 (EMBASE,MEDLINE,CINAHL,CENTRAL) 进行了全面的文献搜索,截至2022年2月.
- 包括的研究包括随机对照试验,非随机对照试验,队列研究和成人癌症患者的EPC受控前后研究.
- 标记为EPC的干预措施使用TIDieR检查清单进行了分析,用于结构化描述.
主要成果:
- 包括40项研究,主要是随机对照试验,重点关注胰腺和肺癌患者.
- 常见的EPC元素包括症状管理,病例管理和预先护理计划 (ACP).
- 经常报告的结果是与健康相关的生活质量,症状强度,资源使用和情绪.
结论:
- 在当前的早期息护理干预中存在显著的异质性.
- 报告EPC组件和方法的缺陷阻碍了开发有效的,定制的干预措施.
- 标准化报告对于推进EPC研究和临床应用至关重要.
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