期间手术支持性护理干预措施,以提高癌症老年人手术结果:系统性审查
Anh B Lam1, Luke Sorensen1, Vanessa A Moore2
1Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK.
JCO oncology practice
|January 24, 2025
概括
本系统性审查检查了接受手术的癌症老年人的术后支持性护理干预措施. 关键干预措施包括运动和老年人评估,突出强调需要针对老年人瘤学的定制方法.
科学领域:
- 老年瘤学 老年瘤学
- 外科手术的结果
- 支持性护理干预 支持性护理干预
背景情况:
- 患有癌症的老年人面临着影响手术结果的独特挑战.
- 老年瘤学需要专门的外科手术期间的支持性护理策略.
- 对这一群体的外科手术期间干预的现有文献进行了系统的审查.
研究的目的:
- 对接受手术的癌症老年人进行术后支持性护理干预措施进行系统审查.
- 描述目前关于旨在改善这一人口群体手术结果的干预措施的文献.
- 确定共同的干预类型和评估的结果.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在Ovid MEDLINE,CINAHL和Embase数据库中进行了全面的文献搜索 (2010年1月 - 2023年10月).
- 包括随机对照试验 (RCT),重点关注60岁以上癌症成年人的支持性护理干预措施.
主要成果:
- 包括11个RCT,涉及2,177名患者 (60-95岁),主要患有结直肠癌 (81.8%).
- 评估的干预措施包括运动 (54.5%),老年评估指导护理 (27.2%),营养优化 (9.1%) 和患者赋权 (9.1%).
- 常见的结果是术后并发症,生活质量和逗留时间; 实施挑战,如高退学率.
结论:
- 该审查确定了11项关于癌症老年人的术后支持性护理的研究,重点是运动,老年评估,营养和赋权.
- 观察到干预方式和结果评估的异质性.
- 需要进行进一步的研究,以满足接受手术的老年瘤患者群体的具体需求.
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