Schandl Anna, Färnqvist Kenneth, Mälberg Kalle, Nielsen Sandra, Lagergren Pernilla
Surgical Care Science, Department of Molecular Medicine and Surgery, Karolinska Institutet, Retzius Väg 13A, 4th Floor, 17177, Stockholm, Sweden.
Department of Anaesthesia and Intensive Care, Södersjukhuset, 11883, Stockholm, Sweden.
J Cancer Surviv. 2024 Feb 15. doi: 10.1007/s11764-024-01551-0.
The aim of the literature review was to identify and synthesise research on self-care advice for oesophageal cancer survivors.
A mixed-methods systematic review and synthesis of existing literature on the topic. Five databases were searched for studies providing information on self-care advice for survivorship after oesophageal cancer surgery, in English, with no time filter. The Critical Appraisal Skills Program was used to assess the risk of bias. Data were presented by textual descriptions and grouping of data.
Among the 13 studies included in the review, five pieces of self-care advice were identified; reconstructing eating habits, bed-head elevation, health-promoting advice, monitoring symptoms and body functions, and involving family and friends. The self-care advice was experienced to be hard work, but worth the effort. They also provided reassurance and an increased understanding of bodily changes and social consequences of the disease and treatment.
There are is little evidence-based self-care advice for oesophageal cancer survivors. However, the existing self-care advice was appreciated and contributed to an increased understanding of the situation. Comprehensible and easy-to-follow recommendations should be provided to all oesophageal cancer survivors.
Evidence-based self-care advice helpful for the individual oesophageal cancer survivor may be imperative to cope with the consequences of oesophagectomy after hospital discharge.
文献综述的目的是识别和综合有关食管癌幸存者自我护理建议的研究。
对该主题的现有文献进行混合方法的系统综述和综合。检索了五个数据库，以查找用英文提供食管癌手术后幸存者自我护理建议信息的研究，无时间限制。使用批判性评估技能计划来评估偏倚风险。数据通过文本描述和数据分组呈现。
在纳入综述的13项研究中，确定了五条自我护理建议；重建饮食习惯、床头抬高、促进健康的建议、监测症状和身体功能，以及让家人和朋友参与。自我护理建议虽然很辛苦，但值得付出努力。它们还提供了安心感，并增加了对疾病和治疗的身体变化及社会后果的理解。
几乎没有针对食管癌幸存者的循证自我护理建议。然而，现有的自我护理建议受到了认可，并有助于增加对情况的理解。应该为所有食管癌幸存者提供易于理解和遵循的建议。
基于证据的自我护理建议对于个体食管癌幸存者应对出院后食管切除的后果可能至关重要。
