Nursing approaches in home chemotherapy: A systematic review

IF 3.8 3区医学 Q1 NURSING

International Nursing Review Pub Date : 2025-01-15 DOI:10.1111/inr.13101

Yasemin Özer Güçlüel RN, PhD, Ayşenur Çetin Üçeriz RN, PhD, Pınar Yel RN, PhD

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引用次数: 0

Abstract

Aim

To systematically explore the existing literature by examining nursing approaches to home chemotherapy treatment.

Background

With the rising number of patients with cancer, home chemotherapy has gained prominence. Nurses play a crucial role in this process and bear significant responsibilities.

Introduction

Home chemotherapy is increasingly recognized as a safe and effective alternative, relieving hospitals by managing the rising number of patients with cancer, decreasing workload and costs, and reducing pressure on the healthcare system.

Methods

The study follows the PRISMA 2020 checklist and is registered in the International Prospective Register of Systematic Reviews (PROSPERO). Literature searches were conducted from February 15 to 16, 2024, assisted by an expert librarian, across PubMed, Cochrane Library, Scopus, CINAHL, Web of Science, and Google Scholar. Three researchers assessed the methodological quality of the included studies. EndNote version 20.1 was used to manage references and remove duplicates. Seven studies that met the inclusion criteria were reviewed in full text and included in the analysis.

Results

The study's distribution includes 4 observational studies, 2 cohort studies, and 1 qualitative study. By country, the distribution is Italy (n = 2), England, Japan, the Netherlands, Korea, and Argentina (n = 1 each). Evaluated using Joanna Briggs Institute (JBI) checklists, three studies were of good quality, and four were of medium quality.

Conclusions

Nurses' responsibilities, such as patient education, treatment monitoring, and side effect management, are essential in home care. Therefore, developing evidence-based protocols to guide these practices is necessary.

Conclusion and implications for nursing and/or health policy

Nurses play a crucial role in enhancing treatment adherence by educating patients and their families about the chemotherapy process and managing side effects to prevent complications. Home care services reduce patients' reliance on hospitals, offering economic and psychological benefits. Further research is needed to emphasize the importance of specialized nursing education in this area.

查看原文本刊更多论文

家庭化疗的护理方法：系统回顾。

目的：通过对家庭化疗护理方法的探讨，对现有文献进行系统的梳理。背景：随着癌症患者数量的不断增加，家庭化疗越来越受到重视。护士在这一过程中发挥着至关重要的作用，承担着重要的责任。简介：家庭化疗越来越被认为是一种安全有效的替代方案，通过管理越来越多的癌症患者，减轻医院的工作量和成本，减轻医疗保健系统的压力。方法：该研究遵循PRISMA 2020清单，并在国际前瞻性系统评价登记册（PROSPERO）中注册。文献检索于2024年2月15日至16日进行，由一位专业图书馆员协助，检索范围包括PubMed、Cochrane Library、Scopus、CINAHL、Web of Science和b谷歌Scholar。三位研究者评估了纳入研究的方法学质量。EndNote 20.1版本用于管理引用和删除重复项。符合纳入标准的7项研究被全文审查并纳入分析。结果：本研究分布包括4项观察性研究、2项队列研究和1项定性研究。从国家来看，意大利（n = 2）、英国、日本、荷兰、韩国和阿根廷（n = 1）。使用乔安娜布里格斯研究所（JBI）的检查表进行评估，3项研究质量良好，4项研究质量中等。结论：护士的责任，如患者教育、治疗监测和副作用管理，在家庭护理中是必不可少的。因此，制定基于证据的协议来指导这些实践是必要的。结论及其对护理和/或卫生政策的影响：护士通过教育患者及其家属化疗过程和管理副作用以预防并发症，在提高治疗依从性方面发挥着至关重要的作用。家庭护理服务减少了病人对医院的依赖，提供了经济和心理上的好处。强调专科护理教育在这一领域的重要性有待进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Nursing Review 医学-护理

CiteScore

7.90

自引率

7.30%

发文量

审稿时长

6-12 weeks

期刊介绍： International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.