旨在改善高风险人群肺癌查采用的干预措施:系统性审查和元分析
Yuan Yang1, Wenqian Zhao1, Dorothy N S Chan1
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Asia-Pacific journal of oncology nursing
|January 16, 2026
概括
综合干预和患者导航显著增加高风险个体的肺癌查吸收率. 需要进一步的研究来优化这些策略,以便更好地参与查.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在高风险人群中,肺癌查的接受率仍然不够理想.
- 有效的干预措施对于改善早期检测率和患者的治疗结果至关重要.
研究的目的:
- 综合有关旨在增加高风险个体肺癌查吸收率的干预措施的证据.
- 评估不同类别的干预措施的有效性.
主要方法:
- 系统搜索八个数据库 (开始至2024年6月) 和参考列表.
- 包括12项研究中的13项试验,评估偏差风险.
- 根据干预类别进行元分析和子组分析,使用RevMan 5.4.
主要成果:
- 这些干预措施共同提高了肺癌查的接受率 (OR,1.70;95% CI,1.10-2.62;P=0.02).
- 联合干预 (OR,3.38;95% CI,2.08-5.52;P<0.001) 和患者导航 (OR,3.31;95% CI,1.70-6.41;P<0.001) 显示出显著的有效性.
- 确定了六个干预类别:在线教育,患者导航,共享决策,外联宣传,有针对性的邀请材料和联合干预.
结论:
- 联合干预和患者导航是增加肺癌查采用的最有效策略.
- 最佳的设计,定制和交付方法需要进一步调查,因为研究数量有限.
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