在晚期癌症中引入息护理:系统性审查
Samuel Pointon1, Anna Collins2, Jennifer Philip2,3
1Department of Medicine, St Vincent's Hospital, The University of Melbourne, Fitzroy, Victoria, Australia samuel.pointon23@gmail.com.
BMJ supportive & palliative care
|February 2, 2024
概括
对息治疗 (PC) 的负面看法阻碍了早期获得. 本次审查确定了教育,沟通和建立信任等策略,以改善癌症患者和家属的PC引入.
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:
- 癌症患者和家属对息治疗 (PC) 的负面看法阻碍了及时的转诊,并限制了获得福利的机会.
- 解决这些看法对于改善患者的治疗结果和护理经验至关重要.
研究的目的:
- 对向癌症患者及其家属引入息护理 (PC) 服务的方法进行审查和评估.
- 确定有效的策略,克服早期PC转诊的障碍.
主要方法:
- 使用PRISMA指南进行了系统审查,搜索了MEDLINE,PsychInfo和CINAHL数据库.
- 包括描述成人患者PC引入方法的经验研究,并以叙事方式综合发现.
主要成果:
- 从1193个独特的手稿中包括了12项研究,详细介绍了各种PC引入方法.
- 出现了四个主要类别:教育,临床沟通,建立信任/关系,以及整合性系统.
结论:
- 虽然教育是有用的,但专注的沟通和建立的临床医生-患者信任对于有效的PC讨论至关重要.
- 可能需要一个多维的框架来指导临床医生,需要对最佳方法进行进一步的定量研究.
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