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血液恶性肿瘤患者的同伴支持:系统评价。

Peer support in patients with hematologic malignancies: a systematic review.

机构信息

Department of Psychosocial Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.

Department of Psychiatry, Brigham and Women's Hospital, Boston, MA, USA.

出版信息

Bone Marrow Transplant. 2022 Aug;57(8):1240-1249. doi: 10.1038/s41409-022-01709-3. Epub 2022 May 21.

DOI:10.1038/s41409-022-01709-3
PMID:35597891
Abstract

BACKGROUND

Peer support has been utilized and associated with clinical outcomes (e.g., improved mood) in patients with solid malignancies. However, to date, there is minimal literature examining peer support among patients with hematologic malignancies and/or patients who have undergone hematopoietic stem cell transplantation (HSCT).

METHODS

In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, we completed a systematic review using five databases to assess the relationship between peer support and clinical outcomes (e.g., distress, physical symptoms) among patients with hematologic malignancies or HSCT recipients.

RESULTS

The eight included studies examined peer support in a total of 574 patients. Four intervention studies highlighted the potential benefits of peer support, such as improved physical symptoms. Two studies, one interventional and one cross-sectional, highlighted the need for more empirically based peer support interventions in the HSCT population.

CONCLUSION

Among patients with hematologic malignancies and/or HSCT recipients, there is a dearth of literature examining the association between peer support and outcomes, although few studies have described a positive association between peer support and better health outcomes. More randomized controlled studies are needed to better understand the role of peer support and peer support interventions on outcomes in these vulnerable populations.

摘要

背景

同伴支持已被应用于并与实体恶性肿瘤患者的临床结局(例如,改善情绪)相关联。然而,迄今为止,关于血液恶性肿瘤患者和/或接受造血干细胞移植(HSCT)患者的同伴支持的文献很少。

方法

根据系统评价和荟萃分析的首选报告项目(PRISMA)指南,我们使用五个数据库完成了一项系统评价,以评估同伴支持与血液恶性肿瘤患者或 HSCT 受者的临床结局(例如,痛苦、身体症状)之间的关系。

结果

八项纳入的研究共检查了 574 名患者的同伴支持。四项干预研究强调了同伴支持的潜在益处,例如改善身体症状。两项研究,一项干预性研究和一项横断面研究,强调了在 HSCT 人群中需要更多基于经验的同伴支持干预措施。

结论

在血液恶性肿瘤患者和/或 HSCT 受者中,关于同伴支持与结局之间的关联的文献很少,尽管少数研究描述了同伴支持与更好的健康结局之间存在积极关联。需要更多的随机对照研究来更好地了解同伴支持在这些弱势群体中的作用以及同伴支持干预措施对结局的影响。

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