School of Medicine, Xiamen University, Xiamen, China.
Department of Thyroid and Breast Surgery, Weifang People's Hospital, Shandong Second Medical University, Weifang, China.
J Clin Nurs. 2024 Jul;33(7):2438-2455. doi: 10.1111/jocn.17014. Epub 2024 Feb 12.
The clinical significance of cancer-related stigma on patients' well-being has been widely established. Stigma can be perceived and internalised by cancer patients or implemented by the general population and healthcare workers. Various interventions have been carried out to reduce cancer-related stigma, but their effectiveness is not well-understood. This review aims to synthesise evidence on the effectiveness of interventions to reduce cancer-related stigma.
An integrative review.
This integrative review combined both qualitative and quantitative studies and followed five steps to identify problems, search for the literature, appraise the literature quality, analyse data, and present data. Mixed Methods Appraisal Tool (version 2018) was applied to evaluate the quality of the included studies.
Databases included Web of Science, MEDLINE, SpringerLink, Wiley Online Journals, Cochrane Library, ScienceDirect, OVID, and China National Knowledge Infrastructure (from the inception of each database to 30 April 2021).
Eighteen quantitative, six qualitative, and five mixed-methods studies were included in this review. Cultural factors should be considered when conducting interventions to reduce cancer-related stigma. For cancer patients, multi-component interventions have demonstrated a positive effect on their perceived stigma. For general population, interactive interventions show promise to reduce their implemented stigma towards cancer patients. For healthcare workers, there is a paucity of studies to reduce their implemented stigma. Existing studies reported inconclusive evidence, partially due to the lack of a robust study design with an adequate sample size.
Multi-component and interactive interventions show promise to relieve cancer-related stigma. More methodologically robust studies should be conducted in different cultures to elucidate the most appropriate interventions for different populations to reduce cancer-related stigma.
These findings will facilitate healthcare workers to design and implement interventions to reduce cancer-related stigma, thus improving the quality of life for cancer patients.
No patient and public contribution.
癌症相关污名对患者健康的临床意义已得到广泛证实。污名感可由癌症患者感知和内化，也可由普通人群和医疗保健工作者实施。已经实施了各种干预措施来减少癌症相关污名，但它们的效果尚不清楚。本综述旨在综合评估减少癌症相关污名的干预措施的有效性。
综合回顾。
本综合回顾结合了定性和定量研究，并按照以下五个步骤来识别问题、搜索文献、评估文献质量、分析数据和呈现数据。混合方法评估工具（2018 年版）用于评估纳入研究的质量。
数据库包括 Web of Science、MEDLINE、SpringerLink、Wiley Online Journals、Cochrane Library、ScienceDirect、OVID 和中国国家知识基础设施（从每个数据库的创建到 2021 年 4 月 30 日）。
本综述共纳入 18 项定量研究、6 项定性研究和 5 项混合方法研究。在实施减少癌症相关污名的干预措施时，应考虑文化因素。对于癌症患者，多组分干预措施对其感知污名有积极影响。对于普通人群，互动式干预有望减少他们对癌症患者的实施污名。对于医疗保健工作者，减少他们对癌症患者实施污名的研究较少。现有研究报告的证据不一致，部分原因是缺乏具有足够样本量的稳健研究设计。
多组分和互动式干预措施有望减轻癌症相关污名。应在不同文化中进行更具方法学严谨性的研究，以阐明针对不同人群的最适当干预措施，以减少癌症相关污名。
这些发现将有助于医疗保健工作者设计和实施干预措施，以减少癌症相关污名，从而提高癌症患者的生活质量。
无患者和公众贡献。
