Tokunaga Runa, Sakaki Miki, Kashiwa Satomi, Hayashi Naoko
St. Luke's International University, 10-1, Akashi-cho, Chuo-ku, Tokyo, 104-0044, Japan.
BMC Med Educ. 2025 Jun 2;25(1):821. doi: 10.1186/s12909-025-07423-0.
There is a lack of systematic reports on the status and roles of nurses in rehabilitation that significantly impact the functional prognosis and quality of life of brain tumor patients. Therefore, the purpose of this study was to conduct a scoping review on rehabilitation nursing for brain tumor patients.
Using the JBI Manual for Evidence Synthesis, this research employed a scoping review design. CINAHL plus and PubMed databases were searched for literature published from 1947 to November 2023. Inclusion criteria covered articles including rehabilitation nursing for brain tumor patients and excluding pediatric studies, case reports, discussion papers, editorials, and expert opinions. The study is registered with UMIN-CTR (ID: UMIN000053136).
Following the adoption criteria, of the 2748 articles found 19 were selected. The literature selection adheres to PRISMA guidelines. The research designs included two RCTs, five longitudinal intervention studies, three systematic reviews, eight literature reviews, and one questionnaire survey. Among them, 15 articles discussed rehabilitation provided by nurses within a multidisciplinary rehabilitation, while four articles specifically addressed rehabilitation as one aspect of nursing care for brain tumor patients. The identified aspects were categorized as: information gathering and organization, meaning for the continuation of rehabilitation, prevention and management of secondary complications, family support, and collaboration with other healthcare professionals, all of which were consistently explained in all studies. Current challenges in rehabilitation nursing included a lack of studies on outcome measurement, insufficient knowledge and skills among nurses, and underdeveloped specialization in the field.
Nurses play a crucial role in collecting patient information and collaborating with healthcare professionals for effective rehabilitation. They address symptoms arising from the disease and treatment, contributing significantly to rehabilitation's effectiveness. However, research on rehabilitation nursing for brain tumor patients is limited, highlighting the need for further development in this area.
目前缺乏关于护士在康复中对脑肿瘤患者功能预后和生活质量有显著影响的地位和作用的系统报告。因此，本研究旨在对脑肿瘤患者的康复护理进行范围综述。
本研究采用循证综合的JBI手册，采用范围综述设计。检索CINAHL plus和PubMed数据库中1947年至2023年11月发表的文献。纳入标准包括涉及脑肿瘤患者康复护理的文章，排除儿科研究、病例报告、讨论论文、社论和专家意见。该研究已在UMIN-CTR注册（ID：UMIN000053136）。
按照纳入标准，在检索到的2748篇文章中，选取了19篇。文献筛选遵循PRISMA指南。研究设计包括两项随机对照试验、五项纵向干预研究、三项系统评价、八项文献综述和一项问卷调查。其中，15篇文章讨论了护士在多学科康复中提供的康复服务，而四篇文章专门将康复作为脑肿瘤患者护理的一个方面进行阐述。确定的方面分为：信息收集与整理、康复持续的意义、继发性并发症的预防与管理、家庭支持以及与其他医疗专业人员的协作，所有这些在所有研究中都得到了一致的解释。目前康复护理面临的挑战包括缺乏对结局测量的研究、护士知识和技能不足以及该领域专业化发展不完善。
护士在收集患者信息以及与医疗专业人员合作以实现有效康复方面发挥着关键作用。他们处理疾病和治疗引起的症状，对康复效果有重大贡献。然而，关于脑肿瘤患者康复护理的研究有限，凸显了该领域进一步发展的必要性。
