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晚期癌症患者的死亡准备干预措施:一项系统综述。

Death preparedness interventions for patients with advanced cancer: A systematic review.

作者信息

Zhang Xi, Zhao Meizhen, Zeng Tieying, Wei Xiaoli

机构信息

Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Asia Pac J Oncol Nurs. 2025 Apr 10;12:100697. doi: 10.1016/j.apjon.2025.100697. eCollection 2025 Dec.

Abstract

OBJECTIVE

This study aims to synthesize and critically evaluate the current evidence on interventions aimed at enhancing death preparedness among patients with advanced cancer.

METHODS

A comprehensive search of PubMed, Embase, Cochrane Library, CINAHL, ProQuest, and Web of Science was conducted to identify relevant studies. The review followed Systematic Review and Meta-Analysis Preferred Reporting Items (PRISMA) guidelines, with a structured assessment of study quality and intervention outcomes.

RESULTS

Nine studies involving a total of 876 patients with advanced cancer met the inclusion criteria. Interventions demonstrated significant improvements in overall death preparedness, with additional benefits observed in psychological well-being and functional status. Most interventions incorporated death education, psychological support, and meaning-centered psychotherapy.

CONCLUSIONS

Interventions appear to be effective in enhancing death preparedness among patients with advanced cancer. Future research should focus on refining intervention components, clearly defining outcome measures, and aligning strategies with individualized patient needs and goals.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD420250652562.

摘要

目的

本研究旨在综合并批判性地评估目前有关旨在提高晚期癌症患者死亡准备程度的干预措施的证据。

方法

全面检索了PubMed、Embase、Cochrane图书馆、CINAHL、ProQuest和Web of Science,以确定相关研究。该综述遵循系统评价与Meta分析优先报告条目(PRISMA)指南,对研究质量和干预结果进行结构化评估。

结果

9项研究共纳入876例晚期癌症患者,符合纳入标准。干预措施在总体死亡准备方面显示出显著改善,在心理健康和功能状态方面也观察到额外益处。大多数干预措施包括死亡教育、心理支持和以意义为中心的心理治疗。

结论

干预措施似乎能有效提高晚期癌症患者的死亡准备程度。未来的研究应专注于优化干预组成部分、明确定量指标以及使策略与个体化患者需求和目标相一致。

系统评价注册

PROSPERO CRD420250652562。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1380/12049812/a8ad376003b5/gr1.jpg

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