胸部恶性肿瘤患者护理中的护理及相关健康研究重点：一项国际横断面调查
Nursing and Allied Health Research Priorities in the Care of Patients With Thoracic Malignancies: An International Cross-Sectional Survey.
作者信息
Molassiotis Alex, Fraser Anne, Culligan Melissa, Labuc Pippa, Csaba Degi L, Charalambous Andreas
机构信息
School of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.
Blood and Cancer Service, Auckland City Hospital, Auckland, New Zealand.
出版信息
Front Oncol. 2020 Oct 26;10:591799. doi: 10.3389/fonc.2020.591799. eCollection 2020.
BACKGROUND
There is currently no evidence of research priorities from nurses and allied health professionals working in the field of thoracic malignancies, which could provide strategic directions for funders, policy makers, and researchers.
OBJECTIVE
The aim of this study is to identify the priorities for lung cancer and other thoracic malignancies research and practice in nurses and allied health professionals.
METHODS
Descriptive cross-sectional web-based international survey conducted through international societies' membership lists.
RESULTS
Participants included 152 nurses and allied health professionals. Key priority categories were related to developing and evaluation interventions; symptom management interventions; health care system issues; treatment-related research (immunotherapy; targeted therapies); persistent/late effects management (fatigue; pulmonary toxicity); risk reduction, and screening research. The specific topic with the highest endorsement (80.9%) was the development of interventions to improve quality of life. Symptom management interventions, particularly for pain, dyspnea, and fatigue, were also highly endorsed. Health care system topics were related to delivery of care and included nurse-/allied health-led care (67.5%), working with the multidisciplinary team (67.5%), continuity of care (69.2%), and access to care (67.5%). Topics around screening/early detection research were highly endorsed too.
CONCLUSION
A clear focus (and need) for research in interventions to improve quality of life and symptom management, particularly for pain, dyspnea, and fatigue was also established, alongside healthcare system issues and screening research.
IMPLICATIONS FOR PRACTICE
International societies and funding bodies could consider these topics in their funding decisions and in shaping their strategic directions in the care of patients with thoracic malignancies.
背景
目前尚无在胸段恶性肿瘤领域工作的护士及相关健康专业人员的研究重点证据，而这些证据可为资助者、政策制定者和研究人员提供战略方向。
目的
本研究旨在确定护士及相关健康专业人员在肺癌和其他胸段恶性肿瘤研究与实践方面的重点。
方法
通过国际学会成员名单进行基于网络的描述性横断面国际调查。
结果
参与者包括152名护士及相关健康专业人员。关键优先类别与开发和评估干预措施、症状管理干预措施、医疗保健系统问题、治疗相关研究（免疫疗法；靶向疗法）、持续/晚期效应管理（疲劳；肺部毒性）、风险降低和筛查研究有关。认可度最高（80.9%）的具体主题是开发改善生活质量的干预措施。症状管理干预措施，尤其是针对疼痛、呼吸困难和疲劳的措施，也获得了高度认可。医疗保健系统主题与护理提供有关，包括护士/相关健康主导的护理（67.5%）、与多学科团队合作（67.5%）、护理连续性（69.2%）和获得护理服务（67.5%）。围绕筛查/早期检测研究的主题也获得了高度认可。
结论
还明确了在改善生活质量和症状管理干预措施方面进行研究的重点（和需求），特别是针对疼痛、呼吸困难和疲劳，同时也涉及医疗保健系统问题和筛查研究。
对实践的启示
国际学会和资助机构在其资助决策以及制定胸段恶性肿瘤患者护理的战略方向时可考虑这些主题。
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