Gabriel Israel, Creedy Debra, Coyne Elisabeth
School of Nursing and Midwifery Griffith University Logan Campus Queensland Australia.
Nurs Open. 2020 Jun 28;7(5):1299-1312. doi: 10.1002/nop2.543. eCollection 2020 Sep.
To review the characteristics and effectiveness of psychosocial interventions on quality of life of adult people with cancer and their family caregivers.
A systematic review using PRISMA guidelines.
Seven databases were searched from 2009-2019 using key terms. Included studies were assessed using the Quality Assessment Tool for Quantitative Studies.
1909 studies were retrieved with 12 studies included, involving 3,390 patients/caregivers. Interventions aimed to improve communication, behaviour change and setting short-term goals. Duration of interventions varied from 4-17 weeks. Highest benefit was gained from telephone interventions. Interventions based on interpersonal counselling appeared more effective than other approaches. Studies predominantly focused on psychological, physical and social domains of quality of life. Spiritual well-being received relatively little attention. A paradigm shift is needed to develop psychosocial interventions that incorporate spiritual well-being. More research is needed in developing countries.
回顾心理社会干预对成年癌症患者及其家庭照顾者生活质量的特点和效果。
采用PRISMA指南进行系统评价。
2009年至2019年期间，使用关键词检索了7个数据库。纳入的研究使用定量研究质量评估工具进行评估。
共检索到1909项研究，其中12项研究被纳入，涉及3390名患者/照顾者。干预措施旨在改善沟通、行为改变和设定短期目标。干预持续时间从4周至17周不等。电话干预获得的益处最大。基于人际咨询的干预措施似乎比其他方法更有效。研究主要集中在生活质量的心理、身体和社会领域。精神健康相对受到较少关注。需要进行范式转变以开发纳入精神健康的心理社会干预措施。发展中国家需要更多的研究。
