关于癌症患者护理干预措施的科克兰评论的确性:系统分析
Jun Kako1, Masamitsu Kobayashi2, Kohei Kajiwara3
1Graduate School of Medicine, Mie University, Tsu, Japan.
JMA journal
|May 9, 2024
概括
在瘤护理中,只有51%的科克兰评论 (CRs) 给出了关于护理干预措施的确结果. 这凸显了在癌症护理方面需要更明确的研究,以指导基于证据的实践.
科学领域:
- 瘤科 护理 护理专业
- 基于证据的实践.
- 系统审查是系统的审查.
背景情况:
- 科克莱恩评论 (Cochrane Reviews,简称CR) 对于综合研究证据至关重要.
- 在瘤护理中评估CR的确性对于临床实践至关重要.
- 之前对CR在这个领域的确性进行的评估是有限的.
研究的目的:
- 评估瘤护理CRs中确定的结果的比例.
- 识别与结论性与非结论性发现相关的因素.
- 为了告知瘤护理中使用的证据质量.
主要方法:
- 在Cochrane图书馆系统搜索瘤护理CR (2014年1月 - 2023年4月).
- 分析了32个已识别的CR,提取了19个护理干预措施.
- 统计分析 (χ2,曼-惠特尼U测试) 以比较确和不确的结果.
主要成果:
- 在182个主要结果中,51.6%是确定的,48.4%是不确定的.
- 结论性结果包括28%的有效干预和23.6%的无效干预.
- 像体育活动和这样的干预措施显示出更高的结论率.
结论:
- 在瘤护理CR中,只有51%的主要结果具有决定性.
- 结论性的结局与显著更多的研究和患者有关.
- 结果强调需要更强大的研究来加强基于证据的瘤护理.
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