癌症患者的表达性写作干预:一个范围的文献审查
Jowan Watson1, Cynthia S Peng2, Marie Desir3
1Harvard Medical School, Boston, MA, USA.
Palliative & supportive care
|July 21, 2025
概括
表达式写作干预 (EWI) 显示出改善癌症患者生活质量和身体健康的前景. 需要进一步的研究,以确定在不同人群中的疗效.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 健康心理学 心理健康心理学
背景情况:
- 表达式写作干预 (EWI) 与癌症患者的心理和身体益处有关.
- 在癌症患者的常规心理社会护理中,EWI的整合仍然有限.
- 了解EWI采用的障碍和促进因素对于临床环境至关重要.
研究的目的:
- 审查针对癌症患者使用的EWI的定量和质量研究.
- 介绍关于EWI对癌症患者的益处的最新数据.
- 为实施EWI的临床医生提供战略.
主要方法:
- 2015年至2025年间发表的定量和定性文章的范围审查.
- 通过使用PRISMA指南来确定研究.
- 对健康相关结果的评估影响和改善使用方法.
主要成果:
- 分析了28项研究 (3527名患者);24项是定量研究,4项是定性研究.
- 大多数研究来自美国和中国,重点关注乳腺癌患者 (主要是女性).
- 21项定量研究报告了EWI与生活质量/身体健康结果之间的积极关联;定性主题包括叙事重建和文化因素.
结论:
- 在癌症患者中,EWI显示出与癌症患者健康结果的有希望的关联.
- 癌症群体的EWI存在异质性,随机临床试验有限.
- 需要进行更大规模的试验,以确定在不同癌症患者群体中的疗效.
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