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癌症早期诊断中有效护理干预措施的调查:一项系统评价与荟萃分析。

An investigation of efficient nursing interventions in early diagnosis of cancer: A systematic review and meta-analysis.

作者信息

Larimi Naghmeh A, Belash Iran, Abedi Maede, Bandari Parisa, Mousavi Gohar, Ekhtiari Sepideh, Khademloo Fateme H, Rahnamaei Kosar, Konari Maryam Esmaeili, Rahmdel Samieh, Saripour Elnaz

机构信息

Department of Nursing, Rajaie Cardiovascular Medical and Research, Tehran, Iran.

Department of Nursing, Arak University of Medical Science, Arak, Iran.

出版信息

J Family Med Prim Care. 2021 Aug;10(8):2964-2968. doi: 10.4103/jfmpc.jfmpc_2148_20. Epub 2021 Aug 27.

Abstract

BACKGROUND AND AIMS

Due to the contradictory results of previous research and the lack of a specific study to address the effective nursing interventions in the early diagnosis of cancer, the purpose of this study was to determine the effect of nursing interventions on early diagnosis of cancer.

METHODS

This systematic review and meta-analysis were conducted during the last 5 years from 2015 to September 30, 2020. The articles related to the nursing interventions to early diagnosis of cancer were achieved from PubMed, Cochrane Library, Embase, ISI, Scopus databases, and Google and Google Scholar search engines. Risk-ratio with a 95% confidence interval (CI) between the intervention and control groups was determined using the fixed-effect model, and the Mantel-Haenszel method and I2 showed the heterogeneity of studies. Stata V16 software was used for meta-analysis.

RESULTS

The effect of an intervention on early diagnosis of breast cancer was evaluated using mammography, clinical breast examination, and breast self-exam. A total of 300 individuals participated in the study. RR results in the intervention group showed the effectiveness of nursing interventions on breast cancer detected early in both the mammography and colonoscopy (RR, 1.18 95% CI 0.57, 1.79. =0.00 and RR, 0.58, 95% CI 0.42, 0.75, = 0.00, respectively).

CONCLUSION

A variety of nursing interventions including education, consultation, patient guidance, and reminders can have a positive impact on the early detection of cancers.

摘要

背景与目的

由于既往研究结果相互矛盾,且缺乏针对癌症早期诊断中有效护理干预措施的具体研究,本研究旨在确定护理干预对癌症早期诊断的效果。

方法

本系统评价和荟萃分析在2015年至2020年9月30日的过去5年期间进行。从PubMed、Cochrane图书馆、Embase、ISI、Scopus数据库以及谷歌和谷歌学术搜索引擎获取与癌症早期诊断护理干预相关的文章。使用固定效应模型确定干预组与对照组之间的风险比及95%置信区间(CI),Mantel-Haenszel方法和I²显示研究的异质性。采用Stata V16软件进行荟萃分析。

结果

采用乳房X线摄影、临床乳房检查和乳房自我检查评估干预对乳腺癌早期诊断的效果。共有300人参与研究。干预组的RR结果显示,护理干预对乳房X线摄影和结肠镜检查中早期发现的乳腺癌均有效(RR分别为1.18,95%CI为0.57,1.79,P = 0.00;RR为0.58,95%CI为0.42,0.75,P = 0.00)。

结论

包括教育、咨询、患者指导和提醒在内的多种护理干预措施可对癌症的早期发现产生积极影响。

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