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晚期前列腺癌幸存者的支持性护理干预与生活质量:文献综合综述

Supportive care interventions and quality of life in advanced disease prostate cancer survivors: An integrative review of the literature.

作者信息

Calvo-Schimmel Alejandra, Qanungo Suparna, Newman Susan D, Sterba Katherine R

机构信息

College of Nursing, Medical University of South Carolina, Charleston, South Carolina.

Department of Nursing Operating, Medical University of South Carolina, Charleston, South Carolina.

出版信息

Can Oncol Nurs J. 2021 Nov 1;31(4):412-429. doi: 10.5737/23688076314412429. eCollection 2021 Fall.

Abstract

BACKGROUND

Supportive care interventions can improve quality of life and health outcomes of advanced prostate cancer survivors. Despite the high prevalence of unmet needs, supportive care for this population is sparse.

METHODS

The databases PubMed, SCOPUS, CINAHL, and ProQuest were searched for relevant articles. Data were extracted, organized by thematic matrix, and categorized according to the seven domains of the Supportive Care Framework for Cancer Care.

RESULTS

The search yielded 1678 articles, of which 18 were included in the review and critically appraised. Most studies were cross-sectional with small, non-diverse samples. Supportive care interventions reported for advanced prostate cancer survivors are limited with some positive trends. Most outcomes were symptom-focused and patient self-reported (e.g., anxiety, pain, self-efficacy) evaluated by questionnaires or interview. Interventions delivered in group format reported improvements in more outcomes.

CONCLUSIONS

Additional supportive care intervention are needed for men with advanced prostate cancer. Because of their crucial position in caring for cancer patients, nurse scientists and clinicians must partner to research and develop patient-centered, culturally relevant supportive care interventions that improve this population's quality of life and health outcomes. Efforts must concentrate on sampling, domains of needs, theoretical framework, guidelines, and measurement instruments.

摘要

背景

支持性护理干预措施可改善晚期前列腺癌幸存者的生活质量和健康结局。尽管未满足的需求普遍存在,但针对这一人群的支持性护理却很少。

方法

在PubMed、SCOPUS、CINAHL和ProQuest数据库中检索相关文章。提取数据,按主题矩阵进行整理,并根据癌症护理支持性护理框架的七个领域进行分类。

结果

检索得到1678篇文章,其中18篇纳入综述并进行严格评估。大多数研究为横断面研究,样本量小且缺乏多样性。针对晚期前列腺癌幸存者的支持性护理干预措施有限,但有一些积极趋势。大多数结局以症状为重点,通过问卷调查或访谈由患者自我报告(如焦虑、疼痛、自我效能感)。以小组形式实施的干预措施在更多结局方面有改善。

结论

晚期前列腺癌男性患者需要更多的支持性护理干预措施。护士科学家和临床医生因其在癌症患者护理中的关键地位,必须合作研究和开发以患者为中心、与文化相关的支持性护理干预措施,以改善这一人群的生活质量和健康结局。必须集中精力于抽样、需求领域、理论框架、指南和测量工具。

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本文引用的文献

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Supportive care needs in predicting the quality of life among gynecological cancer patients.
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