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提升老年癌症护理水平:对高级实践护理在老年肿瘤患者生活质量中作用的系统评价

Elevating Elderly Cancer Care: A Systematic Review of Advanced Practice Nursing's Role in Senior Oncology Patients' Quality of Life.

作者信息

Useche-Guerrero Cristian-David, Merino-Godoy María-de-Los-Ángeles, Barroso-Márquez Eva-María, Martins Teixeira da Costa Emilia Isabel, Bejarano Rafaela Camacho, Gago-Valiente Francisco-Javier

机构信息

Nursing Department Faculty of Nursing University of Huelva, Huelva 21007, Spain.

Nursing Department Health School University of Algarve, Faro 8000, Portugal.

出版信息

J Nurs Manag. 2024 Oct 10;2024:6698804. doi: 10.1155/2024/6698804. eCollection 2024.

DOI:10.1155/2024/6698804
PMID:40224760
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11919052/
Abstract

BACKGROUND

According to projections based on current trends, it can be anticipated that from 2024 onward, approximately 70% of all cancer cases will be diagnosed in individuals 65 years and older. Given this complex intersection between population ageing and cancer incidence, it is of great importance to address this issue from a comprehensive care perspective. Here comes the importance of advanced practice nurse into play. However, this figure is still not sufficiently valued in many countries. Its roles are also not clearly defined at the international level. For this reason, a systematic review of the scientific literature was carried out to analyze the impact of advanced practice nurse on the quality of life of older adults with cancer.

METHODS

Searches were carried out in PubMed, Web of Science (WoS), Scopus, CINAHL, LILACS, and ScienceDirect databases. They were limited to studies conducted in the last 7 years. Only open-access articles were selected. To analyze the chosen articles and assess their quality, the criteria of the PRISMA and CASPe statements were applied. All authors participated in both the selection of the articles and their analysis.

RESULTS

Of the initial 58 articles selected, a total of 10 articles were finally included, as they met the eligibility criteria established after further analysis. The results show a positive relationship between the advanced practice nurse intervention and quality of life in older adults with cancer.

CONCLUSIONS

Advanced practice nurse (APN) plays a key role in the care of older adults with cancer, significantly improving their quality of life and contributing to the comprehensive care of these patients. The findings evidenced in this work support the integration of APNs in cancer care teams to improve patient experience and overall well-being.

摘要

背景

根据基于当前趋势的预测,可以预计从2024年起,所有癌症病例中约70%将在65岁及以上的人群中被诊断出来。鉴于人口老龄化与癌症发病率之间的这种复杂交叉关系,从综合护理的角度解决这一问题至关重要。这就凸显了高级实践护士的重要性。然而,在许多国家,这一角色仍未得到充分重视。其在国际层面的作用也未明确界定。因此,我们对科学文献进行了系统综述,以分析高级实践护士对老年癌症患者生活质量的影响。

方法

在PubMed、科学网(WoS)、Scopus、CINAHL、LILACS和ScienceDirect数据库中进行检索。检索范围限于过去7年进行的研究。仅选择开放获取的文章。为了分析所选文章并评估其质量,应用了PRISMA和CASPe声明的标准。所有作者都参与了文章的选择和分析。

结果

在最初筛选出的58篇文章中,经过进一步分析,最终共有10篇文章符合纳入标准而被纳入。结果显示,高级实践护士的干预与老年癌症患者的生活质量之间存在正相关关系。

结论

高级实践护士(APN)在老年癌症患者的护理中起着关键作用,显著提高了他们的生活质量,并有助于对这些患者进行全面护理。本研究结果支持将高级实践护士纳入癌症护理团队,以改善患者体验和整体健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd9f/11919052/edec1a52fa1b/JONM2024-6698804.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd9f/11919052/edec1a52fa1b/JONM2024-6698804.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd9f/11919052/edec1a52fa1b/JONM2024-6698804.001.jpg

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本文引用的文献

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Patients' and professionals' experiences with advanced practice nursing in cancer care: A qualitative study.患者与专业人员在癌症护理中对高级实践护理的体验:一项定性研究。
Eur J Oncol Nurs. 2023 Oct;66:102407. doi: 10.1016/j.ejon.2023.102407. Epub 2023 Sep 1.
2
Professional competencies of oncology nurses: Recognizing advanced practice in nursing.肿瘤护理专业能力:认识护理中的高级实践。
Enferm Clin (Engl Ed). 2023 Sep-Oct;33(5):338-345. doi: 10.1016/j.enfcle.2023.07.006. Epub 2023 Aug 3.
3
[Cancer in older adults in Latin America: interdisciplinary cooperation between oncology and geriatrics].
[拉丁美洲老年人的癌症:肿瘤学与老年医学的跨学科合作]
Rev Salud Publica (Bogota). 2020 May 1;22(3):337-345. doi: 10.15446/rsap.V22n3.84617.
4
Care needs of older patients with advanced cancer.晚期癌症老年患者的护理需求。
Curr Opin Support Palliat Care. 2023 Mar 1;17(1):31-36. doi: 10.1097/SPC.0000000000000636. Epub 2023 Jan 20.
5
[Effects of the Advanced Practice Nurse-Led Psychoeducational Program for Colorectal Cancer Survivors].[高级实践护士主导的结直肠癌幸存者心理教育项目的效果]
J Korean Acad Nurs. 2022 Jun;52(3):245-260. doi: 10.4040/jkan.21207.
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Symptom cluster: management and advanced practices in oncology nursing.症状群:肿瘤护理管理与高级实践。
Rev Esc Enferm USP. 2022 Jun 27;56(spe):e20210452. doi: 10.1590/1980-220X-REEUSP-2021-0452en. eCollection 2022.
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Quality of life in cancer patients with different preferences for nurse spiritual therapeutics: The role of psychological capital.不同偏好护士灵性治疗的癌症患者的生活质量:心理资本的作用。
J Adv Nurs. 2022 Apr;78(4):991-1000. doi: 10.1111/jan.15023. Epub 2021 Aug 23.
8
Training of advanced practice nurses in oncology for the best care: a systematic review.肿瘤学高级实践护士培训以提供最佳护理:系统评价。
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The Association of Physical (in)Activity with Mental Health. Differences between Elder and Younger Populations: A Systematic Literature Review.体力活动与心理健康的关系。老年人群和年轻人群的差异:系统文献综述。
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Updating guidance for reporting systematic reviews: development of the PRISMA 2020 statement.更新系统评价报告指南:PRISMA 2020 声明的制定。
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