School of Medicine and Public Health, University of Newcastle, Level 4 West, HMRI Building, Callaghan, NSW, 2308, Australia.
Priority Research Centre for Health Behaviour, Level 4 West, HMRI Building, Callaghan, NSW, 2308, Australia.
Support Care Cancer. 2020 May;28(5):2059-2069. doi: 10.1007/s00520-019-05252-8. Epub 2019 Dec 24.
People affected by chronic diseases such as cancer report high levels of distress and a need for psychosocial support. It is unclear whether telephone-based services for people affected by chronic disease are a practical setting for implementing distress screening, referral protocols and rescreening to direct supportive care where it is needed. This systematic review aimed to describe the published literature regarding distress screening and supportive care referral practices in telephone-based services for people affected by chronic diseases such as cancer.
A systematic literature search of MEDLINE, Embase, PsycInfo, CINAHL, Cochrane and Scopus was conducted in February 2018. Included quantitative studies involved: patients or caregivers affected by chronic diseases including cancer and describe a health service assessing psychosocial needs or distress via telephone. Extracted data included the type of cancer or other chronic disease, sample size, screening tool, referral or rescreening protocols, and type of health service.
The search identified 3989 potential articles with additional searches returning 30 studies (n = 4019); fourteen were eligible for full-text review. Of the 14 studies, 13 included cancer patients. Studies were across multiple settings and identified nine distress screening tools in use.
The reviewed studies indicate that validated distress-screening tools are being used via telephone to identify distress, particularly in relation to cancer. Screening-driven supportive care referrals are also taking place in telephone-based services. However, not all services use an established referral protocol. Ongoing rescreening of callers' distress is also limited despite it being an important recommendation from psycho-oncology guidelines.
患有癌症等慢性病的人报告说，他们有很高的痛苦水平，需要心理社会支持。目前尚不清楚针对慢性病患者的电话服务是否是实施痛苦筛查、转诊协议和重新筛查以提供必要支持性护理的实际环境。本系统评价旨在描述有关通过电话为患有癌症等慢性病的人提供服务的痛苦筛查和支持性护理转诊实践的已发表文献。
2018 年 2 月，对 MEDLINE、Embase、PsycInfo、CINAHL、Cochrane 和 Scopus 进行了系统的文献检索。纳入的定量研究包括：患有包括癌症在内的慢性病的患者或护理人员，并描述了通过电话评估心理社会需求或痛苦的卫生服务。提取的数据包括癌症或其他慢性病的类型、样本量、筛查工具、转诊或重新筛查方案以及卫生服务的类型。
搜索共确定了 3989 篇潜在文章，另外的搜索又返回了 30 项研究（n=4019）；其中 14 项符合全文审查标准。在这 14 项研究中，有 13 项纳入了癌症患者。这些研究跨越了多个环境，并确定了正在使用的 9 种痛苦筛查工具。
综述研究表明，通过电话使用经过验证的痛苦筛查工具来识别痛苦，特别是与癌症相关的痛苦。电话服务也在进行基于筛查的支持性护理转诊。然而，并非所有服务都使用既定的转诊协议。尽管心理肿瘤学指南提出了这一重要建议，但对来电者痛苦的持续重新筛查也很有限。
