在血液性恶性瘤的CAR-T治疗中促进以患者为中心的护理:定性元合成
Caiqin Xie1, Haoran Duan2, Hui Liu3
1Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, No. 88 Jiefang Road, Shangcheng District, Hangzhou, 310009, China. 2523077@zju.edu.cn.
概括
接受CAR-T治疗的患者面临着选择,情绪困扰和康复负担的挑战. 解决身体和心理需求对于有效的以患者为中心的护理和治疗可持续性至关重要.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 护理 护理 护理
背景情况:
- 化学抗原受体T细胞 (CAR-T) 治疗是一种新的血液恶性瘤治疗方法.
- 了解患者和护理人员的经历对于以患者为中心的护理至关重要.
- 量身定制的护理干预措施可以改善CAR-T治疗过程.
研究的目的:
- 系统地审查和综合有关患者和家庭护理人员对CAR-T疗法的经验的定性数据.
- 在整个CAR-T治疗过程中确定关键主题和挑战.
主要方法:
- 自2015年以来发表的研究的系统审查和定性元综合.
- 包括英语和中文同行评审的文章,并引用患者/护理人员的引用.
- 使用NVIVO 12.0.0进行数据提取和主题合成.
主要成果:
- 从12份报告 (11项研究) 中出现了8个主要主题.
- 患者报告说,缺乏选择,情绪困扰,在治疗期间/治疗后的各种经历.
- 确定了对疗效,不良事件,康复负担和高成本的担忧.
结论:
- 解决CAR-T治疗的身体和心理方面对于安全和可持续性至关重要.
- 患者和护理人员高度重视有效的沟通和全面的管理.
- 进一步的研究应该集中在减少患者负担和开发自我管理计划上.
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