弥合差距:在血液瘤中整合息护理的更新系统综合性审查
Deborah Moreno-Alonso1, Beatriz García García2, Clara Madrid-Alejos3
1Comprehensive Cancer Support Area, ICAMS (Institute of Cancer and Blood Diseases), Hospital Clínic, Barcelona, Spain.
Seminars in oncology nursing
|August 21, 2025
概括
尽管在症状管理和情绪支持方面已证明有好处,但血液恶性瘤的缓解护理仍未得到充分利用. 解决误解和改善临床医生的培训对于及时获得医疗服务至关重要.
科学领域:
- 血液学
- 缓和护理
- 癌症护理
背景情况:
- 在血液恶性瘤中整合息治疗需要更新评估.
- 之前的审查强调了持续存在的护理差距.
- 需要进行十年更新以确定新出现的主题和变化.
研究的目的:
- 评估十年来血液恶性瘤患者的缓解护理缺口和变化.
- 确定缓解护理的新兴主题.
- 为加强血液学服务中的息护理整合提供建议.
主要方法:
- 从2015年7月到2024年12月对文献进行系统审查.
- 在PubMed,CINAHL,Cochrane,Scopus和科学网上进行搜索.
- 排除了之前分析的文章,以关注最近的变化和趋势.
主要成果:
- 分析了68篇文章,揭示了六个主题:获取,终身护理,症状负担,家庭护理,情感支持和各种各样的方面.
- 血性恶性瘤患者的症状负担很高,但没有充分利用息治疗.
- 障碍包括误解,沟通不良,临床医生的知识缺口和制度问题,导致晚期咨询.
结论:
- 息治疗显著改善了临终血液病患者的症状管理和情绪支持.
- 需要重新定义"缓解"以改善早期获取.
- 通过培训解决临床医生的知识缺口是消除进入障碍的关键.
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