门诊息护理和癌症症状控制:系统性审查和元分析
Rajvi Shah1,2, Rachel Everitt3, Dana Hince4
1Department of Palliative Care, Campbelltown & Camden Hospitals, Campbelltown, New South Wales, Australia rajvishah06@gmail.com.
BMJ supportive & palliative care
|March 22, 2025
概括
门诊息护理显著改善了常见的癌症症状,如疼痛和焦虑. 然而,由于研究异质性,证据质量较低,需要进一步研究以获得最佳的患者护理.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 症状管理 症状管理
背景情况:
- 门诊息护理诊所改善了癌症患者的治疗结果和生活质量.
- 这些诊所对个体患者报告的症状的具体影响尚不清楚.
研究的目的:
- 评估门诊息护理对成人癌症患者体验的个体症状的影响.
主要方法:
- 进行了随机和非随机研究的系统审查和元分析.
- 搜索包括主要的数据库 (PubMed,CINAHL,EMBASE,PsycINFO,Cochrane Central) 到2023年9月.
- 从经过验证的尺度中,患者报告的症状得分是使用随机效应元分析合成的.
主要成果:
- 分析了20项研究 (包括RCT,队列和回顾性设计),主要侧重于先进的混合类型癌症.
- 在疼痛,焦虑,疲劳,失眠,抑郁,昏昏欲睡,幸福感和整体症状负担方面观察到显著改善.
- 对于恶心,呼吸障碍或食欲没有发现显著改善.
结论:
- 门诊息护理对几种常见的癌症症状产生了积极影响.
- 目前的证据强度很低,这归因于研究中的显著异质性.
- 未来的研究应该专注于确定症状评估的门,以指导转诊和后续战略.
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