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家庭参与对接受姑息治疗的癌症患者的尊严干预:一项范围综述方案。

Family participation in dignity interventions for patients with cancer receiving palliative care: a scoping review protocol.

作者信息

Cai Qian, Wang Hangsai, Zhang Yue, Wang Liuqing, Zhao Le, Xu Xinfen

机构信息

School of Medical, Jinhua University of Vocational Technology, Jinhua, Zhejiang, China.

Zhejiang University School of Medicine Women's Hospital, Hangzhou, Zhejiang, China.

出版信息

BMJ Open. 2024 Dec 15;14(12):e090338. doi: 10.1136/bmjopen-2024-090338.

Abstract

INTRODUCTION

The global burden of cancer is escalating, with Asia accounting for over half of cancer-related deaths worldwide. As cancer often diminishes patients' quality of life and sense of dignity, dignity-related interventions have gained prominence in palliative care for patients with cancer. However, a more in-depth exploration of the involvement of families, as the fundamental social units in Confucian Asian cultures, and cultural considerations is currently lacking. This scoping review focuses specifically on patients with cancer receiving palliative care and aims to offer a comprehensive synthesis of the existing evidence on family participatory dignity interventions, addressing the need for a holistic understanding of this emerging field to guide future research and clinical practice.

METHODS AND ANALYSIS

This scoping review will be meticulously structured according to the five-stage framework established by Arksey and O'Malley, complemented by the scoping review methodology of the Joanna Briggs Institute. Our search will encompass a comprehensive array of databases, including PubMed, Embase, The Cochrane Library, CINAHL, Web of Science, PsycINFO, Scopus, CNKI and Wanfang Data, from their inception up to August 2024, targeting both English and Chinese relevant literature. To ensure a thorough exploration, we will also delve into grey literature via OpenGrey, Google Scholar and citation chaining. This scoping review will include all types of quantitative or mixed methods designs and qualitative studies. We will extract data on study design, sample size, intervention details, outcome measures and any other relevant information. The screening process will be conducted by two independent reviewers, who will meticulously assess the titles and abstracts, followed by a full-text review to select relevant studies. Discrepancies will be resolved through consensus discussions with a third reviewer. Data extraction will be executed using a standardised tool, and the findings will be systematically presented in tabular form with an accompanying narrative to summarise all relevant interventions, their characteristics, outcomes and key findings.

ETHICS AND DISSEMINATION

Ethical approval for this scoping review is not required, since the methodology merely involves the collection and review of publicly available literature. Our findings will not only be presented and discussed in a peer-reviewed article but also shared at conferences relevant to the topic.

TRIAL REGISTRATION

Our scoping review protocol has been formally registered with the Open Science Framework. Registration details can be accessed at the provided link: https://osf.io/fyhrm/.

摘要

引言

全球癌症负担正在不断加重,亚洲的癌症相关死亡人数占全球一半以上。由于癌症常常会降低患者的生活质量和尊严感,与尊严相关的干预措施在癌症患者的姑息治疗中变得愈发重要。然而,目前对于作为儒家亚洲文化基本社会单位的家庭的参与情况以及文化因素缺乏更深入的探讨。本综述性研究特别关注接受姑息治疗的癌症患者,旨在全面综合现有的关于家庭参与尊严干预措施的证据,满足对这一新兴领域进行整体理解以指导未来研究和临床实践的需求。

方法与分析

本综述性研究将严格按照阿克西和奥马利建立的五阶段框架进行构建,并辅以乔安娜·布里格斯研究所的综述性研究方法。我们的检索将涵盖一系列综合数据库,包括PubMed、Embase、考科蓝图书馆、护理学与健康领域数据库、科学引文索引、心理学文摘数据库、Scopus、中国知网和万方数据,检索时间从各数据库创建至2024年8月,目标是查找英文和中文的相关文献。为确保全面探索,我们还将通过OpenGrey、谷歌学术和引文链研究深入挖掘灰色文献。本综述性研究将纳入所有类型的定量或混合方法设计以及定性研究。我们将提取关于研究设计、样本量、干预细节、结果测量以及任何其他相关信息的数据。筛选过程将由两名独立评审员进行,他们将仔细评估标题和摘要,随后进行全文评审以选择相关研究。如有分歧,将通过与第三名评审员进行共识讨论来解决。数据提取将使用标准化工具进行,研究结果将以表格形式系统呈现,并伴有叙述性内容,以总结所有相关干预措施、其特征、结果和主要发现。

伦理与传播

由于本综述性研究的方法仅涉及收集和审查公开可用的文献,因此无需伦理批准。我们的研究结果不仅将在同行评审的文章中呈现和讨论,还将在与该主题相关的会议上分享。

试验注册

我们的综述性研究方案已在开放科学框架正式注册。可通过提供的链接访问注册详细信息:https://osf.io/fyhrm/

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