在青少年癌症中治疗疼痛和症状的基于正念的干预措施:系统性审查
Wannita Sonkongdang1, Nuttanicha Sriboonyawattana1, Jutarat Mesukko1
1Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
概括
基于正念的干预措施在改善癌症青少年的症状集群和生活质量方面表现出有限的有效性. 需要更严格的,适合年龄的,护理为主导的研究,以解决儿科瘤治疗中的证据缺口.
科学领域:
- 在瘤学瘤学.
- 青少年健康 青少年健康
- 综合医学是一个整体医学.
背景情况:
- 患有癌症的青少年 (10-19岁) 需要专门的护理护理.
- 现有的研究往往侧重于成年人或孤立的症状,而不是青少年的症状集群.
- 本综述特别探讨了这种独特人群中症状集群的正念方法.
研究的目的:
- 在接受癌症化疗的青少年中,系统地审查基于正念的干预措施 (MBI) 对疼痛,症状集群严重程度和生活质量的影响.
- 确定证据缺口,并为儿童瘤学的未来研究和临床实践提供信息.
主要方法:
- 在主要数据库 (Scopus,Embase,PubMed,CINAHL,ProQuest) 中对2014-2024年英语和泰国出版物进行了全面的文献搜索.
- 用独立研究人员的JBI评估工具进行了质量评估.
- 定量合成使用随机效应建模来分析受控和不受控制研究的数据.
主要成果:
- 三项研究 (n=141) 符合纳入标准,使用基于正念的个人化方案.
- 在所有症状指标中观察到主要非显著的结果,在不受控制的研究中具有很高的异质性.
- 在不受控制的研究中 (SMD = -0.55,p = .05) 注意到癌症特异性生活质量的适度提高,但在受控的比较中没有. 证据的可信度低至极低.
结论:
- 目前的证据表明,MBI在癌症青少年的症状管理中有效性有限.
- 关于MBI在这个人群中的有效性,存在显著的证据差距.
- 需要严格的,适合年龄的,护理主导的干预措施,整合正念,以便在儿科瘤学中进行多维症状集群管理.
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