与晚期癌症良好生活:对非药物支持性护理干预措施的范围审查
Brinda Kumar1, Moe Thet Htaa1, Kim Kerin-Ayres2
1School of Medicine, Western Sydney University, Campbelltown, NSW, Australia.
Journal of cancer survivorship : research and practice
|December 16, 2024
概括
非药物支持性护理干预改善了晚期癌症患者的福祉和生活质量. 然而,在解决实际和系统需求方面存在研究差距,突出了未来研究的领域.
科学领域:
- 在瘤学瘤学.
- 支持性护理是一种支持性护理.
- 证据综合 证据综合
背景情况:
- 晚期癌症患者面临着多方面的需求:身体,心理,社会,金融,法律和实践.
- 支持性护理干预旨在管理症状,增强福祉,并改善这些人的生活质量.
- 将支持性护理纳入临床实践需要对现有证据进行彻底审查.
研究的目的:
- 对晚期癌症患者的非药物支持性护理干预措施进行范围审查.
- 绘制现有证据库的地图,并确定支持性护理的研究缺口.
- 在先进的癌症支持性护理中为未来的研究方向提供信息.
主要方法:
- 在四个数据库 (CINAHL,Medline,Cochrane,PsycINFO) 系统搜索相关研究.
- 包括对先进癌症成年人的非药物干预进行同行评审的原始研究.
- 定义的搜索期从2013年1月1日到2024年7月1日.
主要成果:
- 从3716项初步研究中,包括了84篇出版物.
- 干预侧重于体力活动和心理社会支持,证明了诸如减轻疲劳和改善情绪等益处.
- 在解决实际需求的干预措施中发现了重大差距,包括卫生系统导航,信息,患者护理和财务支持.
结论:
- 现有的支持性护理干预措施主要针对身体和心理社会需求,使实际和系统需求得到不足的服务.
- 非药物干预措施在改善晚期癌症幸存者的福祉和生活质量方面表现有前途.
- 需要进一步进行大规模的多中心研究,以解决发现的研究缺口,并指导全面支持性护理计划的实施.
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