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

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2025-04-10 DOI:10.1016/j.apjon.2025.100697

Xi Zhang , Meizhen Zhao , Tieying Zeng , Xiaoli Wei

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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.

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晚期癌症患者的死亡准备干预：一项系统综述

目的本研究旨在综合和批判性地评价旨在提高晚期癌症患者死亡准备的干预措施的现有证据。方法综合检索PubMed、Embase、Cochrane Library、CINAHL、ProQuest、Web of Science等相关文献。该综述遵循系统评价和meta分析首选报告项目（PRISMA）指南，对研究质量和干预结果进行了结构化评估。结果共纳入876例晚期癌症患者的9项研究符合纳入标准。干预措施显示在总体死亡准备方面有显著改善，在心理健康和功能状态方面观察到额外的益处。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。结论干预措施对提高晚期癌症患者的死亡准备是有效的。未来的研究应侧重于改进干预成分，明确定义结果测量，并根据患者的个性化需求和目标调整策略。系统评价注册号prospero CRD420250652562。

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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