胃管癌手术后患者的自我护理建议 - 混合方法系统性审查
Anna Schandl1,2,3, Kenneth Färnqvist4, Kalle Mälberg4
1Surgical Care Science, Department of Molecular Medicine and Surgery, Karolinska Institutet, Retzius Väg 13A, 4th Floor, 17177, Stockholm, Sweden. anna.schandl@ki.se.
Journal of cancer survivorship : research and practice
|February 16, 2024
概括
对食道癌幸存者的自我护理建议有限但有价值. 关键建议包括饮食调整,症状监测和社会支持,以管理治疗后的生存率.
科学领域:
- 在瘤学瘤学.
- 幸存者护理 幸存者护理
- 基于证据的实践.
背景情况:
- 包括手术在内的食管癌治疗存在重大生存挑战.
- 幸存者需要量身定制的自我护理策略来管理身体和心理社会后果.
- 关于食道癌幸存者的自我护理建议的现有研究尚未全面综合.
研究的目的:
- 系统地审查和综合现有关于对已接受食道癌治疗的个人自我护理建议的研究.
- 确定基于证据的建议,以提高食道癌存活率的自我护理实践.
主要方法:
- 进行了一项混合方法的系统文献审查.
- 在五个电子数据库中搜索了相关研究,没有时间限制.
- 批判性评估技能计划 (CASP) 用于偏见风险评估.
主要成果:
- 包括13项研究,确定了五个关键的自我护理建议领域:饮食重建,睡眠时抬头,健康促进,症状和身体功能监测,以及利用社会支持.
- 幸存者发现自我护理具有挑战性但有益,导致对身体变化和社会影响的理解和保证增加.
- 尽管面临挑战,但确定的自我护理策略被认为是管理生存的有价值的.
结论:
- 缺乏专门针对食道癌幸存者的基于证据的自我护理建议.
- 审查的自我护理建议虽然有限,但得到了积极的接待,并帮助幸存者了解他们的治疗后情况.
- 制定明确,可操作的自我护理建议对于所有食道癌幸存者来说至关重要,以管理出院后的康复和长期健康.
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