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女性乳腺癌幸存者的健康促进护理干预措施:一项范围综述。

Health promotion nursing interventions for female breast cancer survivors: A scoping review.

作者信息

Torabi Pegah, Chouinard Maud-Christine, Sévigny Marie-Maxim, Bilodeau Karine

机构信息

Faculty of Nursing, University of Montreal, Montreal, Quebec, Canada.

Centre Intégré Universitaire de Santé et de Services Sociaux du Nord-de-l'Ile-de-Montréal Research Center, Montreal, Quebec, Canada.

出版信息

J Adv Nurs. 2025 Feb;81(2):641-660. doi: 10.1111/jan.16328. Epub 2024 Jul 16.

Abstract

AIM

Map the existing health promotion nursing interventions for female breast cancer survivors (BCS) to describe the approaches used and the characteristics of these interventions in the available studies.

DESIGN

A scoping review.

DATA SOURCE

Five electronic databases were systematically searched for eligible studies, published between 2002 and 2022.

METHODS

Following the Joanna Briggs Institute's methodology, two reviewers independently used Covidence to screen the title, abstract and full text of evidence against the inclusion criteria and extracted data using an extraction table. The PRISMA Extension for Scoping Reviews (PRISMA-ScR) guided the reporting. No patient or public contribution was necessary.

RESULTS

This review included 22 studies on nursing health promotion interventions for BCSs, primarily conducted in specialized care centres. In 20 of 22 studies, nurses employed the educational approach to promote the health of BCSs. Many interventions aimed to support survivors in adopting healthy lifestyles, improving their sexual health, promoting overall well-being and addressing their individual needs by equipping them with self-care skills. Nurses utilized self-monitoring, health education materials and technologies to support survivors' health.

CONCLUSION

The review concludes that the nurse used various approaches and interventions with different characteristics to improve the health of BCSs. This review also emphasizes that a limited number of determinants of health have been considered by nurses in the development of health promotion interventions.

IMPACT

The review highlights the important role that nurses can play in enhancing the health of female BCSs after cancer treatments. This review can guide future research for developing nursing health promotion interventions in primary care settings for female BCSs. Additionally, the review offers insights to support future research, education and training on diverse approaches and characteristics that nurses can utilize to establish interventions that enhance the health of female BCSs.

摘要

目的

梳理现有的针对女性乳腺癌幸存者的健康促进护理干预措施,以描述现有研究中所采用的方法以及这些干预措施的特点。

设计

范围综述。

数据来源

系统检索了五个电子数据库,以查找2002年至2022年期间发表的符合条件的研究。

方法

按照乔安娜·布里格斯研究所的方法,两名评审员独立使用Covidence根据纳入标准筛选证据的标题、摘要和全文,并使用提取表提取数据。范围综述的PRISMA扩展版(PRISMA-ScR)指导报告撰写。无需患者或公众参与。

结果

本综述纳入了22项关于乳腺癌幸存者护理健康促进干预措施的研究,主要在专科护理中心进行。在22项研究中的20项里,护士采用教育方法来促进乳腺癌幸存者的健康。许多干预措施旨在支持幸存者采用健康的生活方式、改善性健康、促进整体幸福感,并通过培养自我护理技能来满足他们的个人需求。护士利用自我监测、健康教育材料和技术来支持幸存者的健康。

结论

该综述得出结论,护士采用了各种具有不同特点的方法和干预措施来改善乳腺癌幸存者的健康。该综述还强调,护士在制定健康促进干预措施时考虑的健康决定因素数量有限。

影响

该综述强调了护士在癌症治疗后促进女性乳腺癌幸存者健康方面可以发挥的重要作用。本综述可为未来在初级保健环境中为女性乳腺癌幸存者开展护理健康促进干预措施的研究提供指导。此外,该综述提供了见解,以支持未来关于护士可用于制定增强女性乳腺癌幸存者健康的干预措施的各种方法和特点的研究、教育和培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff8b/11729620/2d1ab25f1614/JAN-81-641-g001.jpg

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