老年人癌症患者自我管理干预措施的系统评价方案。

Protocol for a systematic review of self-management interventions for older adults living with cancer.

机构信息

College of Nursing, University of Saskatchewan, 4th Floor, Health Sciences E-Wing, 104 Clinic Place, Saskatoon, Saskatchewan, S7N 2Z4, Canada.

Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.

出版信息

Syst Rev. 2020 Apr 17;9(1):80. doi: 10.1186/s13643-020-01346-1.

DOI:10.1186/s13643-020-01346-1

PMID:32303263

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7164137/

Abstract

BACKGROUND

Cancer predominates in adults over age 65. Cancer treatments are known to create physical and psychosocial challenges, which may be amplified for older adults with cancer. Learning and applying self-management behaviours and skills during treatment with cancer can help to manage/recover health and improve quality of life. In many other chronic illnesses, self-management interventions are known to improve health outcomes and lower healthcare costs. The purpose of this systematic review is to determine the effectiveness of self-management interventions for older adults with cancer on physical, psychosocial, and health system-related outcomes.

METHODS

We are conducting a systematic review of self-management interventions for older adults (65+) diagnosed with cancer (solid tumour or haematological) in the active treatment phase of cancer. This systematic review is guided by the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement. Studies are limited to experimental or quasi-experimental methods published in English, French, German, or Dutch. A search strategy was designed with a Health Sciences librarian and performed using the following electronic databases: Ageline, AMED, ASSIA, Cinahl, Cochrane, Embase, Medline, PsychINFO, and Sociological Abstracts. Approximately 14,000 titles and abstracts are being electronically screened by a minimum of 2 reviewers, with relevant studies to be screened for full text. The final sample of included studies will be assessed for quality using the Cochrane Risk of Bias tool and Down and Black for quasi-experimental studies, with data synthesized in a narrative and tabular format.

DISCUSSION

This systematic review will expand the knowledge base of interventions supporting self-management for older adults with cancer. This study will inform future intervention development by identifying gaps and strengths in effective self-management interventions targeting the needs of older adults receiving active treatment for cancer.

SYSTEMATIC REVIEW REGISTRATION

PROPERO registry ID# CRD42019134113.

摘要

背景

癌症在 65 岁以上的成年人中更为常见。已知癌症的治疗会带来身体和心理社会方面的挑战，而对于患有癌症的老年人来说，这些挑战可能会更加严重。在接受癌症治疗期间学习和应用自我管理行为和技能有助于管理/恢复健康并提高生活质量。在许多其他慢性疾病中，自我管理干预措施已被证明可以改善健康结果并降低医疗保健成本。本系统评价的目的是确定针对癌症（实体瘤或血液系统肿瘤）处于活跃治疗阶段的老年患者的自我管理干预措施对身体、心理社会和卫生系统相关结局的有效性。

方法

我们正在对针对处于癌症活跃治疗阶段的老年（65 岁以上）癌症患者（实体瘤或血液系统肿瘤）的自我管理干预措施进行系统评价。本系统评价遵循系统评价和荟萃分析的首选报告项目（PRISMA）声明。研究仅限于以英语、法语、德语或荷兰语发表的实验或准实验方法。研究人员与一名健康科学图书馆员合作设计了检索策略，并使用以下电子数据库进行检索：Ageline、AMED、ASSIA、Cinahl、Cochrane、Embase、Medline、PsychINFO 和 Sociological Abstracts。至少由 2 名审查员对约 14,000 个标题和摘要进行电子筛选，并对相关研究进行全文筛选。使用 Cochrane 偏倚风险工具和 Down 和 Black 对拟实验研究进行评估，以确定纳入研究的最终样本质量，并以叙述性和表格形式综合数据。