癌症晚期认知行为干预的系统评价
A systematic review of cognitive behavioral interventions in advanced cancer.
机构信息
Department of Acute and Specialty Care, University of Virginia, School of Nursing, Charlottesville 222908, USA.
出版信息
Patient Educ Couns. 2012 Oct;89(1):15-24. doi: 10.1016/j.pec.2012.06.019. Epub 2012 Jul 12.
OBJECTIVE
To systematically review cognitive behavioral interventions for people with advanced cancer.
METHODS
A literature search was conducted using Medline©, CINAHL©, and Psych-info©.
INCLUSION CRITERIA
studies were included in the review if they met the following criteria: (1) the design was a randomized clinical trial, (2) the study tested a cognitive behavioral therapy, including psycho-educational, alternative and complementary therapies (i.e. acupuncture, relaxation), expressive, support and skill building interventions, (3) participants were adults (18 years of age or older) with advanced cancer and the (4) outcomes were directly related to the patient with advanced cancer.
RESULTS
11 studies met the inclusion criteria. Of the studies in the review: treatment effects were not statistically significant in most studies, methods were not consistently described, and samples had limited racial/ethnic diversity.
CONCLUSION
The interpretation of the effectiveness of the CBIs was limited by major challenges to the internal validity of the studies included in the review. The lack of data about the efficacy of CBIs to support people with advanced cancer is a gap in the current knowledge base.
PRACTICE IMPLICATIONS
Given the needs of people living with advanced cancer well-designed studies are needed to test interventions that will improve outcomes for people living with advanced cancer.
目的
系统回顾针对晚期癌症患者的认知行为干预措施。
方法
使用 Medline©、CINAHL© 和 Psych-info© 进行文献检索。
纳入标准
如果研究符合以下标准，则纳入综述：(1) 设计为随机临床试验，(2) 研究测试认知行为疗法，包括心理教育、替代和补充疗法（即针灸、放松）、表达、支持和技能建设干预，(3) 参与者为成年（18 岁或以上）患有晚期癌症，以及 (4) 结果与晚期癌症患者直接相关。
结果
符合纳入标准的研究有 11 项。在本综述中，大多数研究的治疗效果没有统计学意义，方法没有得到一致描述，样本的种族/民族多样性有限。
结论
纳入研究的内部有效性存在重大挑战，限制了对 CBIs 有效性的解释。目前知识基础的一个空白是缺乏支持晚期癌症患者的 CBIs 疗效的数据。
实践意义
鉴于晚期癌症患者的需求，需要进行精心设计的研究来测试干预措施，以改善晚期癌症患者的结局。
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