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社会工作者在肝硬化护理中的作用:一项系统评价。

The Impact of Social Workers in Cirrhosis Care: a Systematic Review.

作者信息

Ufere Nneka N, Hinson Jan, Finnigan Simon, Powell Elizabeth E, Donlan John, Martin Cathy, Clark Phil, Valery Patricia C

机构信息

Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 USA.

Faculty of Health Sciences, School of Allied Health, Social Work Discipline, Australian Catholic University, Brisbane Campus (McAuley), 1100 Nudgee Road, Banyo, QLD 4014 Australia.

出版信息

Curr Treat Options Gastroenterol. 2022;20(2):160-176. doi: 10.1007/s11938-022-00381-2. Epub 2022 Apr 19.

Abstract

PURPOSE OF REVIEW

To report social workers' involvement in supporting patients with cirrhosis.

RECENT FINDINGS

Six intervention studies (three published in the past 3 years) highlighed the potential role of social worker-led interventions to improve the outcomes of patients with cirrhosis. In studies of patients with alcohol-related liver disease ( = 4), social workers conducted psychosocial assessments, screened for substance use disorder and psychological distress, coordinated referrals to addiction services, and provided relapse prevention therapy. In studies including transplant recipients or candidates ( = 2), social workers focused on psychosocial interventions. In two studies ( = 1 patient with alcohol-related liver disease;  = 1 transplant recipients), social workers provided practical support (e.g., housing, transportation). Most articles provided limited information about the intervention and the role of the social worker, making comparisons of the studies difficult.

SUMMARY

More high-quality evidence is needed to formally assess the impact of social workers in improving the outcomes of patients with cirrhosis.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s11938-022-00381-2.

摘要

综述目的

报告社会工作者在支持肝硬化患者方面的参与情况。

最新发现

六项干预研究(三项在过去三年发表)强调了社会工作者主导的干预措施在改善肝硬化患者结局方面的潜在作用。在酒精性肝病患者的研究(n = 4)中,社会工作者进行心理社会评估,筛查物质使用障碍和心理困扰,协调转介至成瘾服务机构,并提供预防复发治疗。在包括移植受者或候选者的研究(n = 2)中,社会工作者专注于心理社会干预。在两项研究中(n = 1例酒精性肝病患者;n = 1例移植受者),社会工作者提供实际支持(如住房、交通)。大多数文章提供的关于干预措施和社会工作者角色的信息有限,难以对这些研究进行比较。

总结

需要更多高质量证据来正式评估社会工作者对改善肝硬化患者结局的影响。

补充信息

在线版本包含可在10.1007/s11938-022-00381-2获取的补充材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad8/9167183/48aa2f454f1f/11938_2022_381_Fig1_HTML.jpg

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