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医疗服务提供者对性取向和性别认同少数的青少年及青年癌症患者的护理准备情况:一项范围综述

Provider preparedness to care for sexual and gender minority adolescent and young adult cancer patients: A scoping review.

作者信息

Cheung Christabel K, Lee Haelim, Francis-Levin Nina, Choi Eunju, Geng Yimin, Thomas Bria N, Roman Valentina A, Roth Michael E

机构信息

University of Maryland Greenebaum Comprehensive Cancer Center, United States.

University of Maryland School of Social Work, Baltimore, MD, USA.

出版信息

PEC Innov. 2024 Sep 13;5:100343. doi: 10.1016/j.pecinn.2024.100343. eCollection 2024 Dec 15.

Abstract

OBJECTIVE

The purpose of the current scoping review is to explore knowledge and gaps in the literature on the preparedness of health care providers (HCPs) to deliver cancer care that addresses the needs of sexual and gender minority (SGM) adolescent and young adult (AYA) patients diagnosed with cancer between ages 15-39 years.

METHODS

We conducted two comprehensive searches on OVID MEDLINE, PsycINFO, and CINAHL in February 2022 and June 2024; examined the empirical literature on HCPs who treat SGM AYA cancer patients; characterized existing research; and evaluated each contribution.

RESULTS

A total of thirteen articles were included in the final review. The reviewed studies varied widely in sample sizes ( = 6 to  = 1253), reflecting different methodological approaches: quantitative cross-sectional ( = 3), qualitative ( = 4), and mixed methods (n = 6).

INNOVATION

The current scoping review piloted an innovative Quality Assessment (QA) Tool of Foundational Progress for SGM AYA Research to assess the quality of evidence, providing a new framework for evaluating and guiding future research.

CONCLUSION

The existing literature on provider preparedness to care for SGM AYA cancer patients is limited. Future studies are critically needed to improve providers' ability to holistically respond to the unique health care needs and concerns of this population.

摘要

目的

本次范围综述的目的是探索关于医疗保健提供者(HCPs)为15至39岁被诊断患有癌症的性少数和性别少数(SGM)青少年及年轻成人(AYA)患者提供满足其需求的癌症护理的准备情况的文献中的知识和差距。

方法

我们于2022年2月和2024年6月在OVID MEDLINE、PsycINFO和CINAHL上进行了两次全面检索;审查了关于治疗SGM AYA癌症患者的HCPs的实证文献;对现有研究进行了特征描述;并评估了每项研究的贡献。

结果

最终综述共纳入13篇文章。所审查的研究样本量差异很大(=6至=1253),反映了不同的方法学途径:定量横断面研究(=3)、定性研究(=4)和混合方法研究(n=6)。

创新

本次范围综述试点了一种创新的SGM AYA研究基础进展质量评估(QA)工具,以评估证据质量,为评估和指导未来研究提供了一个新框架。

结论

关于医疗保健提供者为SGM AYA癌症患者提供护理的准备情况的现有文献有限。迫切需要开展未来研究,以提高医疗保健提供者全面应对该人群独特医疗保健需求和关切的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fba/11437872/769bc06d4650/gr1.jpg

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