National Center for Spinal Disorders, Budapest, Hungary.
Spine (Phila Pa 1976). 2009 Oct 15;34(22 Suppl):S26-30. doi: 10.1097/BRS.0b013e3181b95c55.
Systematic review of the literature.
To identify psychosocial issues affecting patients with a diagnosis of a spinal column or cord tumor.
Using the keywords "cancer communication," "psychosocial care," "cancer patient," and "spine cancer patient," a review of the English literature was performed on Medline, EMBASE, and PsycInfo, a database of the psychology and psychiatry literature in the United States. The relevant articles were reviewed; in addition, relevant references from selected articles were searched. The Spine Oncology Study Group, an international panel of spine oncology surgeons, medical and radiation oncologists, identified 2 key questions to be addressed in the course of the systematic review of the literature. Pertinent manuscripts were rated as being of high, moderate, low, or very low quality. Using the Grading of Recommendations, Assessment, Development, and Evaluation evidence-based review system, the 2 key questions were answered using literature review and expert opinion.
Systematic review of the 3 databases yielded 228 articles pertaining to the psychosocial care of spine tumor patients; systematic review yielded 326 articles addressing communication in cancer patients. Systematic search of the Medline, EMBASE, and PsycInfo databases failed to identify any articles that specifically addressed the 2 questions of interest in the spine tumor patient population. The literature search identified low and very low quality evidence; 2 randomized controlled studies were identified. Although neither specifically pertained to the spine tumor patient population, these articles were reviewed and graded as low-quality evidence.
A multidisciplinary group of allied health care professionals is a necessary prerequisite for the effective psychosocial care of the spine tumor patient. Compassionate communication, in the form of group sessions, telephone support groups, or internet based groups, can alleviate the psychosocial discomfort experienced by spine tumor patients.
文献系统回顾。
确定影响脊柱或脊髓肿瘤患者的社会心理问题。
使用关键词“癌症沟通”、“社会心理护理”、“癌症患者”和“脊柱癌患者”，对 Medline、EMBASE 和美国心理学和精神病学文献数据库 PsycInfo 中的英文文献进行了回顾。对相关文章进行了综述；此外，还对选定文章的相关参考文献进行了检索。脊柱肿瘤研究小组，一个由脊柱肿瘤外科医生、医学和放射肿瘤学家组成的国际小组，确定了在文献系统回顾过程中需要解决的 2 个关键问题。相关手稿被评为高质量、中质量、低质量或极低质量。使用基于推荐、评估、发展和评估证据的分级系统，使用文献回顾和专家意见回答了这 2 个关键问题。
对 3 个数据库的系统回顾产生了 228 篇关于脊柱肿瘤患者社会心理护理的文章；系统回顾产生了 326 篇关于癌症患者沟通的文章。对 Medline、EMBASE 和 PsycInfo 数据库的系统搜索未能确定任何专门针对脊柱肿瘤患者群体的 2 个问题的文章。文献检索确定了低质量和极低质量的证据；确定了 2 项随机对照研究。尽管这些研究都没有特别涉及脊柱肿瘤患者群体，但对这些文章进行了审查并被评为低质量证据。
多学科的辅助保健专业人员小组是有效照顾脊柱肿瘤患者的必要前提。富有同情心的沟通，以小组会议、电话支持小组或基于互联网的小组的形式，可以减轻脊柱肿瘤患者的社会心理不适。
