School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, Perth, WA, 6027, Australia.
BMC Cancer. 2024 May 30;24(1):658. doi: 10.1186/s12885-024-12353-z.
Adherence to chemotherapy treatment is recognized as a crucial health concern, especially in managing cancer patients. Chemotherapy presents challenges for patients, as it can lead to potential side effects that may adversely affect their mobility and overall function. Patients may sometimes neglect to communicate these side effects to health professionals, which can impact treatment management and leave their unresolved needs unaddressed. However, there is limited understanding of how patients' experiences contribute to improving adherence to chemotherapy treatment and the provision of appropriate support. Therefore, gaining insights into patients' experiences is crucial for enhancing the accompaniment and support provided during chemotherapy.This review synthesizes qualitative literature on chemotherapy adherence within the context of patients' experiences. Data were collected from Medline, Web of Science, CINAHL, PsychINFO, Embase, Scopus, and the Cochrane Library, systematically searched from 2006 to 2023. Keywords and MeSH terms were utilized to identify relevant research published in English. Thirteen articles were included in this review. Five key themes were synthesized from the findings, including positive outlook, receiving support, side effects, concerns about efficacy, and unmet information needs. The review underscores the importance for healthcare providers, particularly nurses, to focus on providing comprehensive information about chemotherapy treatment to patients. Adopting recommended strategies may assist patients in clinical practice settings in enhancing adherence to chemotherapy treatment and improving health outcomes for individuals living with cancer.
患者对化疗治疗的坚持被认为是一个至关重要的健康关注点,尤其是在管理癌症患者方面。化疗给患者带来了挑战,因为它可能导致潜在的副作用,从而对他们的活动能力和整体功能产生不利影响。患者有时可能会忽略向医疗保健专业人员报告这些副作用,这可能会影响治疗管理,并导致未解决的需求得不到满足。然而,人们对患者的体验如何有助于提高化疗治疗的依从性以及提供适当的支持知之甚少。因此,了解患者的体验对于在化疗过程中增强陪伴和支持至关重要。
本综述综合了关于患者体验背景下化疗依从性的定性文献。数据来自 Medline、Web of Science、CINAHL、PsychINFO、Embase、Scopus 和 Cochrane Library,从 2006 年到 2023 年进行了系统搜索。使用关键词和 MeSH 术语来确定以英语发表的相关研究。本综述纳入了 13 篇文章。从研究结果中综合出 5 个关键主题,包括积极的态度、获得支持、副作用、对疗效的担忧和未满足的信息需求。该综述强调了医疗保健提供者(特别是护士)专注于向患者提供有关化疗治疗的全面信息的重要性。在临床实践环境中采用推荐的策略可能有助于提高患者对化疗治疗的依从性,并改善癌症患者的健康结局。