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社会人口学和临床特征对癌症患者应对策略的影响:系统评价。

The influence of socio-demographics and clinical characteristics on coping strategies in cancer patients: a systematic review.

机构信息

Faculty of Human and Social Sciences, University of Enna "Kore", Cittadella Universitaria, 94100, Enna, Italy.

出版信息

Support Care Cancer. 2022 Nov;30(11):8785-8803. doi: 10.1007/s00520-022-07267-0. Epub 2022 Jul 9.

Abstract

OBJECTIVES

Cancer is a frequent illness and a traumatic experience for both patients and their families. This systematic review aims to analyse studies that examine socio-demographic and clinical characteristics that predict the coping strategies in cancer patients.

METHODS

From January 2000 to March 2021, the database searches were conducted in 7 different databases, using relevant keywords. According to PRISMA Statements, full-text, peer-reviewed articles in English which used socio-demographics as independent variables and coping as dependent variables were included.

RESULTS

Of 1101 abstracts and titles, 30 full-text papers were included. Overall results showed a great influence of socio-demographic characteristics (such as women, younger, in a relationship, with high educational level, with active work status, and high income) on positive coping strategies adopted by cancer patients. Regarding clinical characteristics, no-metastatic patients who have recently been diagnosed, especially in the early stage of cancer, and who know the characteristics of their illness and treatments, more frequently used adaptive coping strategies.

CONCLUSIONS

Both socio-demographics and clinical characteristics showed considerable influence on the coping strategies adopted by patients in most of the investigations. These results supported the assessment of basic patients' information (sociodemographic and clinical characteristics) as fundamental to quickly outline an efficient, supportive, and holistic taking-over, before all the essential and in-depth considerations.

TRIAL REGISTRATION

This systematic review was recorded in PROSPERO with the registration number: CRD42021254776.

摘要

目的

癌症是一种常见的疾病,对患者及其家属来说都是一种创伤性的经历。本系统综述旨在分析研究癌症患者应对策略的社会人口学和临床特征预测因素的研究。

方法

从 2000 年 1 月至 2021 年 3 月,在 7 个不同的数据库中使用相关关键词进行数据库检索。根据 PRISMA 声明,纳入了使用社会人口统计学作为自变量和应对作为因变量的全文、同行评议的英文文章。

结果

在 1101 篇摘要和标题中,有 30 篇全文文章被纳入。总体结果表明,社会人口统计学特征(如女性、年轻、有伴侣、高教育水平、有积极工作状态和高收入)对癌症患者采用的积极应对策略有很大影响。关于临床特征,无转移患者、最近被诊断出患有癌症的患者,特别是处于癌症早期的患者,以及了解自己疾病和治疗方法的患者,更频繁地使用适应性应对策略。

结论

在大多数研究中,社会人口统计学和临床特征都对患者采用的应对策略有相当大的影响。这些结果支持评估患者的基本信息(社会人口统计学和临床特征)作为快速概述有效、支持和整体护理的基础,然后再进行所有必要的和深入的考虑。

试验注册

本系统综述已在 PROSPERO 中记录,注册号为:CRD42021254776。

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