Catherine McAuley School of Nursing and Midwifery, College of Medicine and Health, University College Cork, Cork, Ireland.
School of Applied Psychology, College of Arts, Celtic Studies & Social Sciences, University College Cork, Cork, Ireland.
Support Care Cancer. 2023 Aug 21;31(9):530. doi: 10.1007/s00520-023-07984-0.
To identify supportive care interventions for men with urological cancers.
Experimental studies conducted among men with any urological cancer were eligible for inclusion. Academic Search Complete, CINAHL Plus with Full Text, MEDLINE, APA PsycArticles, APA PsycInfo, Social Sciences Full Text (H.W. Wilson), SocINDEX with Full Text, ERIC, Google Scholar and ClinicalTrials.gov were searched on 6 December 2022. No database limits were applied. The included studies were methodologically appraised. A narrative synthesis of the results was conducted.
Thirty studies were included with 10 categories of interventions identified. Over 300 outcomes were measured, and more than 100 instruments were used. Multicomponent interventions generally led to positive changes in physiological outcomes like body mass index, as well as exercise tolerance and quality of life. This change, however, was not sustained in the long term. Cognitive-behavioural interventions significantly improved psychological symptoms but seldom physical symptoms. Telephone and web-based interventions showed great promise in improving outcomes like depression, positive affect, negative affect, perceived stress, spiritual wellbeing and fatigue. Findings from physical activity/exercise-based interventions were promising for both, physical and psychological outcomes. Rehabilitative interventions were associated with significant improvements in quality of life, urinary symptoms and psychological symptoms, albeit in the short term. Mixed results were reported for nurse-led interventions, family-based interventions and nutritional interventions.
All but one study focused exclusively on prostate cancer. The included studies were significantly heterogeneous. Multicomponent, cognitive-behavioural, telephone and web-based, physical activity/exercise-based and rehabilitative interventions showed great promise in improving various outcomes. This improvement, however, was often short-lived.
确定针对泌尿系统癌症男性患者的支持性护理干预措施。
符合纳入标准的研究为针对任何泌尿系统癌症男性患者开展的实验研究。2022 年 12 月 6 日，检索了 Academic Search Complete、CINAHL Plus with Full Text、MEDLINE、APA PsycArticles、APA PsycInfo、Social Sciences Full Text (H.W. Wilson)、SocINDEX with Full Text、ERIC、Google Scholar 和 ClinicalTrials.gov 等数据库，未对数据库设置任何限制。纳入的研究采用了方法学评价，并对结果进行了叙述性综合分析。
共纳入 30 项研究，确定了 10 类干预措施。共测量了 300 多个结局，使用了 100 多种工具。多组分干预通常会导致身体质量指数等生理结局以及运动耐量和生活质量的积极变化，但这种变化无法长期维持。认知行为干预显著改善了心理症状，但很少改善生理症状。电话和网络干预在改善抑郁、积极情绪、消极情绪、感知压力、精神健康和疲劳等结局方面显示出巨大的潜力。基于身体活动/运动的干预措施在改善生理和心理结局方面也有较好的效果。康复干预与生活质量、尿症状和心理症状的显著改善相关，但仅在短期有效。护士主导的干预、家庭为基础的干预和营养干预的结果则好坏参半。
除了一项研究外，所有研究都专门针对前列腺癌。纳入的研究存在显著异质性。多组分、认知行为、电话和网络、身体活动/运动以及康复干预在改善各种结局方面显示出巨大的潜力。但这种改善往往是短暂的。
