在前列腺癌的抗雄激素缺乏疗法中,男性的症状经历:系统性审查和元聚合
Siyuan Wu1, Kun Li1, Ying Zhang1
1Department of Nursing, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China; Department of Nursing, School of Medicine, Zhejiang University, Hangzhou, China.
International journal of nursing studies
|June 2, 2024
概括
为前列腺癌接受雄激素剥夺治疗的男性面临复杂的,低估的症状. 了解他们不同的感知和反应对于改善护理和症状管理至关重要.
科学领域:
- 在瘤学瘤学.
- 定性研究是指质量研究.
- 患者体验 患者体验
背景情况:
- 抗雄激素抑制疗法 (ADT) 是晚期前列腺癌的标准治疗方法.
- 由于复杂的症状负担,ADT显著影响患者的生活质量.
- 目前缺乏在ADT期间男性症状经验的定性综合.
研究的目的:
- 探索和综合的症状经验的男性进行雌激素剥夺治疗前列腺癌.
主要方法:
- 使用元聚合方法进行定性证据综合.
- 在多个数据库 (PubMed,Embase,CINAHL等) 进行了搜索. 对于从2001年到2023年的文学.
- 数据由两名独立审查员提取和综合,使用Joanna Briggs研究所的检查清单进行质量评估.
主要成果:
- 包括24篇中等到高质量的文章,产生了59项用于元聚合的发现.
- 结果被汇总成九个类别,形成四个综合发现:症状产生,感知,意义和反应.
- 关键的综合发现突出了未被识别的症状,复杂的感知,受到威胁的幸福感和各种各样的应对策略.
结论:
- 在前列腺癌的ADT期间,男性经历了四个阶段的,充满危机的症状旅程.
- 医疗保健提供者必须了解患者对共享决策和治疗管理的看法.
- 未来的研究应该专注于开发个性化的干预措施和实际的症状管理策略.
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