护士主导的针对受癌症影响的老年人的干预措施：一项综合综述。
Nurse-led interventions among older adults affected by cancer: An integrative review.
作者信息
Alemania Elizabeth, Hind Alica, Samara Juliane, Turner Murray, Ralph Nick, Paterson Catherine
机构信息
New South Wales Health, Sydney, Australia.
Faculty of Health, University of Canberra, Australia.
出版信息
Asia Pac J Oncol Nurs. 2023 Aug 7;10(10):100289. doi: 10.1016/j.apjon.2023.100289. eCollection 2023 Oct.
OBJECTIVE
Aging can introduce significant changes in health, cognition, function, social status, and emotional status among older adults affected by cancer. Little is known about how existing nurse-led interventions address the needs of older adults. The objective was to identify existing nurse-led interventions among older adults to optimize recovery and survivorship needs.
METHODS
A integrative systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) 2020 Guidelines. Electronic databases (APA PsycINFO, CINAHL, MEDLINE, Scopus, and Google Scholar databases) were searched using key search terms. Articles were assessed for inclusion according to a pre-determined eligibility criterion. Data extraction and quality appraisal were conducted. Findings were integrated into a narrative synthesis.
RESULTS
Twenty-one studies were included, and a total of 4253 participants were represented. There were a range of study designs: quantitative ( = 10), randomised controlled trials ( = 6), mixed methods studies ( = 3), qualitative ( = 1), and a non-randomized controlled study ( = 1). Most participants had prostate cancer, with some representation in colorectal, lung, head and neck, renal, esophageal, and mixed cancer patient populations.
CONCLUSIONS
This review shows a lack of evidence on the inclusion of geriatric assessments for older people with cancer within existing nurse-led interventions. Further research is needed to test nurse-led interventions with the inclusion of geriatric assessments and their contribution to the multidisciplinary team across the cancer care continuum for various cancer patient populations.
目的
衰老会给受癌症影响的老年人的健康、认知、功能、社会地位和情绪状态带来重大变化。对于现有由护士主导的干预措施如何满足老年人的需求，人们知之甚少。本研究的目的是确定在老年人中现有的由护士主导的干预措施，以优化康复和生存需求。
方法
根据系统评价和Meta分析的首选报告项目（PRISMA）2020指南进行综合系统评价。使用关键检索词在电子数据库（美国心理学会心理学文摘数据库、护理学与健康领域数据库、医学期刊数据库、Scopus数据库和谷歌学术数据库）中进行检索。根据预先确定的纳入标准对文章进行评估。进行数据提取和质量评估。研究结果被整合为叙述性综述。
结果
纳入了21项研究，共涉及4253名参与者。研究设计多样：定量研究（n = 10）、随机对照试验（n = 6）、混合方法研究（n = 3）、定性研究（n = 1）和非随机对照研究（n = 1）。大多数参与者患有前列腺癌，在结直肠癌、肺癌、头颈癌、肾癌、食管癌以及混合癌症患者群体中也有一些代表。
结论
本综述表明，在现有的由护士主导的干预措施中，缺乏关于对老年癌症患者进行老年评估的证据。需要进一步研究来测试纳入老年评估的由护士主导的干预措施，以及它们在癌症护理连续过程中对不同癌症患者群体的多学科团队的贡献。
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