'Rita Levi Montalcini' Department of Neuroscience, University of Turin, 10126 Turin, Italy.
Int J Environ Res Public Health. 2024 Feb 12;21(2):215. doi: 10.3390/ijerph21020215.
The growing amount of evidence about the role of supportive care in enhancing cancer patients' outcomes has made healthcare providers more sensitive to the need for support that they experience during cancer's trajectory. However, the lack of a consensus in the definition of supportive care and lack of uniformity in the theoretical paradigm and measurement tools for unmet needs does not allow for defined guidelines for evidence-based best practices that are universally accepted. Contemporary cancer literature confirms that patients continue to report high levels of unmet supportive care needs and documents the low effectiveness of most of the interventions proposed to date. The aim of this critical review is to consolidate the conceptual understanding of the need for supportive care, providing definitions, areas of expertise and a careful overview of the measurement tools and intervention proposals developed to date. The possible reasons why the currently developed interventions do not seem to be able to meet the needs, and the issues for future research were discussed.
支持性护理在改善癌症患者预后方面的作用的证据越来越多，这使得医疗保健提供者更加关注他们在癌症病程中所经历的支持需求。然而，支持性护理的定义缺乏共识，未满足需求的理论范式和测量工具也缺乏统一性，因此无法制定普遍接受的循证最佳实践的明确指南。当代癌症文献证实，患者继续报告高水平的未满足的支持性护理需求，并记录了迄今为止提出的大多数干预措施的效果较低。本批判性综述的目的是整合对支持性护理需求的概念理解，提供定义、专业领域，并仔细概述迄今为止开发的测量工具和干预措施提案。讨论了目前开发的干预措施似乎无法满足需求的可能原因，以及未来研究的问题。
