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接受治疗的癌症患者的支持性护理的质量指标:系统审查
Ayako Okuyama1, Mai Kuwabara2, Sadamoto Zenda3
1Graduate School of Nursing Science, St. Luke's International University, 10-1 Akashi-cho, Chuo-ku, 104-0044, Tokyo, Japan. okuyama.ayako.r3@slcn.ac.jp.
BMC cancer
|January 20, 2025
概括
这次审查确定了42个质量指标,用于管理癌症治疗副作用. 测量这些指标可以改善支持性护理,帮助患者在治疗期间管理日常生活.
科学领域:
- 在瘤学瘤学.
- 医疗保健的质量 医疗保健的质量
- 患者支持 患者支持
背景情况:
- 对接受癌症治疗的患者来说,支持性护理对于维持日常生活至关重要.
- 对治疗相关副作用的支持性护理指标的测量往往没有得到充分报告.
- 本次审查的重点是确定管理癌症治疗诱导的成年患者的毒性质量指标.
研究的目的:
- 确定全面的质量指标清单,用于管理成人患者癌症治疗诱导的毒性.
- 根据已建立的护理质量模型对这些指标进行分类.
主要方法:
- 从2013年到2023年,主要的数据库 (PubMed,CINAHL,Cochrane,Embase) 进行了对文献的系统审查.
- 精选的文章重点是开发或分析管理癌症治疗成年人中毒性的质量指标.
- 识别的指标使用Donabedian医疗保健质量模型进行了分类.
主要成果:
- 在18篇文章中确定了42个质量指标:4个结构指标,27个过程指标和11个结果指标.
- 大多数指标 (64.3%) 是从临床指南中得出的过程指标.
- 作为结果指标,提出了患者报告的症状患病率的结果指标;多学科专家在大多数研究中选择了指标,但患者/家庭没有参与.
结论:
- 实施和衡量这些确定的质量指标可以提高癌症患者的支持性护理.
- 医院内关注患者需求对于改善支持性护理质量至关重要.
- 这些措施旨在使患者能够更好地将治疗与日常生活相结合.
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