在瘤学中针对患者和临床医生的沟通干预:随机对照试验的系统审查
Meghan McDarby1, Emily Mroz2,3, Leah E Walsh4
1Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Psycho-oncology
|February 26, 2025
概括
瘤学中的综合通信干预措施可能会改善以患者为中心的沟通,但对患者护理结果的影响有限. 需要进一步的研究来澄清干预目标和预期的结果.
科学领域:
- 在瘤学瘤学.
- 沟通研究 沟通研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的沟通对于以患者为中心的癌症护理至关重要.
- 现有的干预措施往往单独针对临床医生或患者.
- 对于瘤学中患者和临床医生的联合干预措施的有效性尚未得到充分探索.
研究的目的:
- 系统地审查瘤学中联合通信干预的随机对照试验 (RCT).
- 评估针对患者和临床医生的干预措施的范围和有效性.
主要方法:
- 在四个主要数据库 (PubMed,Embase,PsycINFO,Cochrane) 进行系统搜索.
- 包括到2024年5月发表的研究,遵守PRISMA指南.
- 使用偏差风险2.0工具评估偏差风险.
主要成果:
- 从3983个记录中确定了13个符合条件的RCT (8个集群,5个个人).
- 综合干预措施显示出增强以患者为中心的沟通的潜力.
- 有证据表明,它在改善患者护理和相关结果方面有效性有限.
结论:
- 在瘤学中的联合沟通干预和结果测量方面存在显著的异质性.
- 鉴于这种异质性,确定疗效和改善机制具有挑战性.
- 未来的研究应该确定联合干预的具体目标和预期结果.
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