Poudel Pragya G, Horan Madeline R, Brinkman Tara M, Wang Zhaoming, Robison Leslie L, Hudson Melissa M, Huang I-Chan
Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105, USA.
Department of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Cancers (Basel). 2023 Sep 25;15(19):4710. doi: 10.3390/cancers15194710.
The majority of adult cancer patients/survivors encounter social challenges (e.g., obtaining social support, maintaining social relationships, feelings of social isolation). This systematic review summarizes intervention studies addressing social integration or social connectedness issues among young- and middle-aged cancer patients/survivors.
We searched the PubMed, CINAHL, and Web of Science databases (January 2000-May 2021) to identify intervention studies that addressed social integration, social connectedness, social support, and social isolation for cancer patients/survivors in young- and middle-aged adulthood (18-64.9 years) through a randomized controlled trial (RCT). We categorized the interventions as technology-based, non-technology-based, and mixed-type (technology- and non-technology-based).
A total of 28 studies were identified. These interventions demonstrated improved social outcomes (e.g., increased social support, decreased loneliness), increased awareness of available cancer-related resources, and better patient-reported outcomes among patients/survivors versus controls. Specifically, the use of internet-based discussion sessions was associated with improved social cohesion and social support. Receiving social support from peers through networking sites was associated with improved physical activity. Additionally, implementing mixed-type interventions led to better social support from peer survivors, less fear of social interactions, and improved social connectedness.
Using existing technology- and/or non-technology-based platforms to facilitate social connectedness among cancer patients/survivors in young- or middle-aged adulthood can help them cope with stressful life circumstances and improve quality-of-life. Further interventions targeting social integration (e.g., social network interventions) are needed to improve the complex social integration challenges experienced by cancer patients and survivors.
大多数成年癌症患者/幸存者面临社会挑战（例如，获得社会支持、维持社会关系、社会孤立感）。本系统综述总结了针对中青年癌症患者/幸存者社会融合或社会联系问题的干预研究。
我们检索了PubMed、CINAHL和科学网数据库（2000年1月至2021年5月），以确定通过随机对照试验（RCT）解决中青年（18 - 64.9岁）癌症患者/幸存者社会融合、社会联系、社会支持和社会孤立问题的干预研究。我们将干预措施分为基于技术的、非基于技术的和混合型（基于技术和非基于技术的）。
共确定了28项研究。与对照组相比，这些干预措施在患者/幸存者中显示出改善的社会结果（例如，增加社会支持、减少孤独感）、提高了对可用癌症相关资源的认识以及更好的患者报告结果。具体而言，使用基于互联网的讨论会议与改善社会凝聚力和社会支持相关。通过社交网站从同龄人那里获得社会支持与增加身体活动相关。此外，实施混合型干预措施可从同龄幸存者那里获得更好的社会支持，减少对社交互动的恐惧，并改善社会联系。
利用现有的基于技术和/或非技术的平台促进中青年癌症患者/幸存者之间的社会联系，可以帮助他们应对压力大的生活状况并提高生活质量。需要进一步针对社会融合的干预措施（例如，社会网络干预）来改善癌症患者和幸存者所经历的复杂社会融合挑战。
