为癌症接受胃肠道手术的患者的外科期望:系统性审查
K E Kopecky1, O Monton2, S Koti3
1Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. kekopeck@gmail.com.
Annals of surgical oncology
|October 14, 2025
概括
接受胃肠道癌症手术的患者通常对康复和预后有未满足的期望. 需要更现实的信息来减少患者的痛苦和改善手术结果.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 患者报告的结果
背景情况:
- 对于胃肠道 (GI) 癌症而言,外科手术是常见的.
- 患者对手术后康复,预后和生活质量等方面的期望尚不清楚.
研究的目的:
- 系统地审查患者在胃肠道癌症手术前后的期望.
- 识别信息提供方面的差距和支持性干预的领域.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在四个数据库中进行了搜索:MEDLINE,Embase,PsycINFO,CINAHL.
- 包括报告治疗意图的胃肠道癌症手术的成年患者的术后期望的研究.
主要成果:
- 分析了22项涉及3605名患者的研究.
- 患者经常报告对手术结果的不确定性,导致痛苦.
- 患者希望获得有关预期康复和潜在并发症的更全面信息.
- 许多患者高估了手术的治愈潜力,低估了恢复时间.
结论:
- 接受肠道癌症手术的患者往往没有为术后的挑战做好准备.
- 有一个显著的需要改进,现实的术前信息.
- 对这种患者群体来说,支持性干预措施的开发和评估至关重要.
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