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同伴主导干预对癌症患者的影响:一项荟萃分析。

Effects of Peer-Led Interventions for Patients With Cancer: A Meta-Analysis.

作者信息

Lee Myung Kyung, Suh Soon-Rim

机构信息

Kyungpook National University.

出版信息

Oncol Nurs Forum. 2018 Mar 1;45(2):217-236. doi: 10.1188/18.ONF.217-236.

Abstract

PROBLEM IDENTIFICATION: To evaluate the effects of peer-led supportive interventions for patients with cancer.
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LITERATURE SEARCH: Six electronic databases (EMBASE, MEDLINE®, Google Scholar, Cochrane Library, ProQuest Medical Library, and CINAHL®) were searched for articles published from 1997 to May 2017.
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DATA EVALUATION: A total of 159 studies were identified. Eighteen (16 randomized, controlled trials [RCTs] and 2 non-RCTs) were eligible for systematic review and 16 for meta-analysis. The Cochrane risk of bias tool and Comprehensive Meta-Analysis software were used for analysis.
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SYNTHESIS: The authors synthesized the results of the effect size of each trial according to cancer symptoms, coping, emotional health, quality of life, self-efficacy, sexuality, social support, and health-related behaviors. 
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IMPLICATIONS FOR RESEARCH

The findings from this study suggest that an additional tiered evaluation that has a theoretical underpinning and high-quality methodology is required to confirm the efficacy of peer-led supportive interventions within cancer care models.

摘要

问题识别

评估同伴主导的支持性干预措施对癌症患者的影响。

文献检索

检索了六个电子数据库(EMBASE、MEDLINE®、谷歌学术、考克兰图书馆、ProQuest医学图书馆和CINAHL®),以查找1997年至2017年5月发表的文章。

数据评估

共识别出159项研究。其中18项(16项随机对照试验[RCT]和2项非RCT)符合系统评价的条件,16项符合荟萃分析的条件。使用考克兰偏倚风险工具和综合荟萃分析软件进行分析。

综合

作者根据癌症症状、应对方式、情绪健康、生活质量、自我效能感、性、社会支持和健康相关行为,综合了每项试验的效应量结果。

研究启示

本研究结果表明,需要进行额外的分层评估,该评估要有理论基础和高质量的方法,以确认同伴主导的支持性干预措施在癌症护理模式中的疗效。

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