Pasek Małgorzata, Goździalska Anna, Jochymek Małgorzata, Caruso Rosario
Department of Nursing, Faculty of Health, University of Applied Sciences in Tarnów, 33-100 Tarnów, Poland.
Faculty of Health and Medical Studies, A. F. Modrzewski Krakow University, 30-705 Krakow, Poland.
Cancers (Basel). 2023 Mar 14;15(6):1754. doi: 10.3390/cancers15061754.
Social support that includes promoting healthy behaviours throughout the oncology pathway, from diagnosis to treatment to survival, can leverage existing support networks and improve the health of patients and family members in supportive roles. This scoping review aimed to identify and summarise the impact of social support on the patient-informal caregiver relationship during cancer treatment. Inclusion criteria were related to a high focus on dyadic cancer patient-informal caregiver relationships, considering a population of adult cancer patients in active hospitalisation on an oncology ward, and published between 2012 and 2022 to get a portrait of the literature that might influence the current practice. A systematic search using the "Population, Concept, and Context" framework was performed in PubMed, Web of Science, SCOPUS, EBSCO Medline, and CINAHL: 13 articles from the 16,425 pre-qualified articles published between 2012 and 2022. The narrative synthesis of the included studies highlighted that social support, encompassing its different forms within the context of dyads, is frequently associated with an enhanced quality of life, hope, and resilience of both patients and informal caregivers. However, it is important to recognize that the support interventions provided to patients, particularly caregivers, were frequently not thoroughly evaluated or explained, and the sample sizes of the included studies were often limited. Therefore, this review clarified the social and clinical potential of social support for the patient-informal caregiver relationship, paving the way for future robust studies that require to be powered and designed on specific outcomes to allow informing the practice on specific recommendations.
社会支持包括在从诊断到治疗再到生存的整个肿瘤治疗过程中促进健康行为，它可以利用现有的支持网络，改善患者及其承担支持角色的家庭成员的健康状况。本范围综述旨在确定并总结社会支持对癌症治疗期间患者与非正式照料者关系的影响。纳入标准高度关注二元癌症患者与非正式照料者的关系，考虑到肿瘤病房中正在住院治疗的成年癌症患者群体，且发表时间为2012年至2022年，以便了解可能影响当前实践的文献概况。在PubMed、科学网、Scopus、EBSCO Medline和CINAHL中使用“人群、概念和背景”框架进行了系统检索：在2012年至2022年发表的16425篇预筛选文章中筛选出13篇文章。纳入研究的叙述性综合分析强调，在二元关系背景下包含不同形式的社会支持，通常与患者和非正式照料者生活质量的提高、希望的增强以及恢复力的提升相关。然而，必须认识到，向患者，尤其是照料者提供的支持干预措施往往没有得到充分评估或解释，而且纳入研究的样本量通常有限。因此，本综述阐明了社会支持对患者与非正式照料者关系的社会和临床潜力，为未来需要根据具体结果进行有力设计的严格研究铺平了道路，以便为基于具体建议的实践提供信息。
