Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran (the Islamic Republic of).
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran (the Islamic Republic of)
BMJ Support Palliat Care. 2023 Jun;13(2):143-153. doi: 10.1136/spcare-2022-003931. Epub 2023 Mar 27.
To achieve optimal survival care outcomes, all healthcare services must be tailored to patients' specific needs, preferences and concerns throughout the survival period. This study aimed to identify supportive care needs from the point of view of breast cancer survivors.
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for reporting systematic reviews, a comprehensive search of PubMed, Web of Science and Scopus was performed. The inclusion criteria were studies published from inception to the end of January 2022, covering all stages of breast cancer. The exclusion criteria were mixed-type studies relating to cancer, such as case reports, commentaries, editorials and systematic reviews, as well as studies that assessed patients' needs during cancer treatment. Two quality assessment tools were used for the qualitative and quantitative studies.
Of the 13 095 records retrieved, 40 studies, including 20 qualitative and 20 quantitative studies, were retained for this review. Survivors' supportive care needs were classified into 10 dimensions and 40 subdimensions. The most frequently mentioned supportive care needs of survivors were psychological/emotional needs (N=32), health system/informational needs (N=30), physical and daily activities (N=19), and interpersonal/intimacy needs (N=19).
This systematic review highlights several essential needs for breast cancer survivors. Supportive programmes should be designed in order to take into consideration all aspects of these needs, particularly psychological, emotional and informational needs.
为了实现最佳的生存护理结果，所有医疗保健服务都必须根据患者在整个生存期间的特定需求、偏好和关注点进行定制。本研究旨在从乳腺癌幸存者的角度确定支持性护理需求。
根据系统评价和荟萃分析报告的首选报告项目的指南，对 PubMed、Web of Science 和 Scopus 进行了全面搜索。纳入标准为从开始到 2022 年 1 月底发表的涵盖乳腺癌所有阶段的研究。排除标准为涉及癌症的混合型研究，如病例报告、评论、社论和系统评价，以及评估癌症治疗期间患者需求的研究。对定性和定量研究使用了两种质量评估工具。
从 13095 条记录中，保留了 40 项研究，包括 20 项定性研究和 20 项定量研究。幸存者的支持性护理需求分为 10 个维度和 40 个子维度。幸存者最常提到的支持性护理需求是心理/情感需求（N=32）、卫生系统/信息需求（N=30）、身体和日常活动（N=19）和人际/亲密关系需求（N=19）。
本系统评价强调了乳腺癌幸存者的一些基本需求。应设计支持性计划，以考虑这些需求的所有方面，特别是心理、情感和信息需求。
