癌症患者便秘的护理支持:一个范围审查
Kimiko Nakano1, Yusuke Kanno2, Kohei Kajiwara3
1Department of Hematology, Endocrinology, and Metabolism, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
Journal of palliative medicine
|July 29, 2024
概括
这次范围审查发现,针,芳香按摩和自我管理教育是有效的非药物护理干预措施,用于治疗癌症患者的便秘. 由于样本规模较小,需要进一步研究.
科学领域:
- 瘤学 护理 护理
- 抚慰性护理是一种缓解性护理.
- 胃肠病学 胃肠病学
背景情况:
- 便秘是晚期癌症患者普遍和令人痛苦的症状,严重影响他们的生活质量.
- 虽然药理疗法是常见的,但癌症护理中便秘的非药理疗法和护理支持需要系统的审查.
研究的目的:
- 进行护理支持策略的范围审查,特别是非药物疗法,用于治疗癌症患者的便秘.
- 识别和分类用于缓解该群体便秘的护理干预类型.
主要方法:
- 由阿克西和奥马利框架指导的系统范围审查.
- 在主要数据库 (PubMed,CINAHL,CENTRAL,Ichushi-Web) 进行了搜索,截至2023年8月31日,使用关键词如"癌症"",便秘"和"护理".
- 从1501个初始结果中选择了六篇文章的最终样本,其中包括通过手工搜索找到的一篇.
主要成果:
- 确定了三个主要的护理支持类别:针,腹部芳香按摩和自我管理教育.
- 大多数被纳入的研究 (六分之五) 使用随机对照试验设计.
- 所有审查的非药物干预措施都在改善癌症患者便秘症状方面表现出有效性.
结论:
- 非药物护理干预措施,如针,芳香按摩和自我管理教育,有望缓解癌症患者的便秘.
- 尽管有积极的发现,但小样本规模需要进一步研究,以加强这些支持性护理策略的证据基础.
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