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患者和照护者在头颈部癌症治疗过程中对营养护理的体验:系统定性评价和主题综合分析。

Patient and carer experience of nutrition care throughout treatment for head and neck cancer: a systematic qualitative review and thematic synthesis.

机构信息

School of Human Movement and Nutrition Sciences, University of Queensland, St Lucia, 4067, Queensland, Australia.

Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Herston, 4029, Queensland, Australia.

出版信息

Support Care Cancer. 2020 Dec;28(12):5633-5647. doi: 10.1007/s00520-020-05576-w. Epub 2020 Jul 8.

Abstract

Nutrition care plays a critical role in the provision of best practice care to head and neck cancer (HNC) patients, with carers playing an important role in supporting patients to maintain nutrition intake. This qualitative systematic review investigated patient and carer experience of nutrition care throughout and beyond HNC treatment. Five databases were systematically searched for qualitative studies reporting on patient and carer experience of nutrition care throughout HNC. Twenty-five studies including 435 patients and 46 carers were identified, revealing three themes: information and support in the healthcare setting, enteral feeding challenges and management, and life outside hospital. Findings highlight the importance of providing individualised person-centred nutrition care to patients with HNC and their carers. Further qualitative research is needed to inform healthcare professionals about the needs of patients and carers to provide appropriate support throughout the treatment trajectory across and between different treatment modalities.

摘要

营养护理在对头颈癌(HNC)患者提供最佳实践护理方面起着至关重要的作用,护理人员在支持患者维持营养摄入方面发挥着重要作用。这项定性系统评价调查了患者和护理人员在 HNC 治疗期间和治疗结束后的营养护理体验。系统地在五个数据库中搜索了定性研究,这些研究报告了患者和护理人员在 HNC 期间的营养护理体验。确定了 25 项研究,其中包括 435 名患者和 46 名护理人员,揭示了三个主题:医疗保健环境中的信息和支持、肠内喂养的挑战和管理,以及医院外的生活。研究结果强调了为 HNC 患者及其护理人员提供个性化以患者为中心的营养护理的重要性。需要进一步的定性研究来告知医疗保健专业人员患者和护理人员的需求,以便在不同治疗方式的整个治疗轨迹中提供适当的支持。

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