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针对血液系统癌症治疗后幸存者的心理社会干预:一项综合综述。

Psychosocial interventions for post-treatment haematological cancer survivors: An integrative review.

作者信息

Raphael Deborah, Frey Rosemary, Moeke-Maxwell Tess, Gott Merryn

机构信息

School of Nursing, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.

出版信息

J Psychosoc Oncol. 2025;43(3):435-461. doi: 10.1080/07347332.2024.2401394. Epub 2024 Sep 19.

DOI:10.1080/07347332.2024.2401394
PMID:39297665
Abstract

PURPOSE

To synthesize literature regarding the implementation and evaluation of psychosocial interventions designed to reduce distress in post-treatment haematological cancer survivors.

METHODS

An integrative review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases searched were Medline, Cinahl, PsychInfo, WoS, and EMBASE, during November 2022.

RESULTS

The total number of eligible studies was 14. The interventions comprised four main intervention categories: care planning, psychological therapy-based, supported self-care/self-management, and survivorship clinic visits. Overall psychosocial interventions were shown to improve outcomes for haematological cancer survivors.

CONCLUSIONS

Psychosocial interventions may play a role in reducing distress for post-treatment haematological cancer survivors and have shown improvements in both psychological and physical outcomes. However, the evidence base was limited and heterogeneous indicating the need for more research.

IMPLICATIONS FOR CANCER SURVIVORS

Psychosocial interventions for haematological cancer survivors have the potential to reduce psychosocial distress during the post-treatment period.

摘要

目的

综合有关旨在减轻血液系统癌症幸存者治疗后痛苦的心理社会干预措施的实施与评估的文献。

方法

根据系统评价和荟萃分析的首选报告项目(PRISMA)指南进行综合评价。于2022年11月检索了Medline、Cinahl、PsychInfo、WoS和EMBASE数据库。

结果

符合条件的研究总数为14项。干预措施包括四个主要干预类别:护理计划、基于心理治疗、支持性自我护理/自我管理以及幸存者门诊就诊。总体而言,心理社会干预措施显示可改善血液系统癌症幸存者的结局。

结论

心理社会干预措施可能在减轻血液系统癌症幸存者治疗后的痛苦方面发挥作用,并已在心理和身体结局方面显示出改善。然而,证据基础有限且存在异质性,表明需要更多研究。

对癌症幸存者的启示

针对血液系统癌症幸存者的心理社会干预措施有可能减轻治疗后阶段的心理社会痛苦。

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