Effect of Home-Based Palliative Care on Quality of Life in Patients With Cancer: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

IF 2.4 3区医学 Q1 NURSING

Cancer Nursing Pub Date : 2025-04-28 DOI:10.1097/NCC.0000000000001512

Ernita Rante Rupang, Ninuk Dian Kurniawati, Huey-Ming Tzeng, Dame Elysabeth Tuty Arna Uly Tarihoran, Ice Septriani Saragih, Ita Daryanti Saragih

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引用次数: 0

Abstract

Background: The implementation of home-based palliative care for patients with cancer aims to relieve suffering and improve quality of life, regardless of disease stage. However, outcomes of such interventions have been inconclusive.

Objective: This study investigated the effect of home-based palliative care on the quality of life in patients with cancer.

Interventions/methods: Six databases (CINAHL, Cochrane Library, EMBASE, MEDLINE, PubMed, Web of Science) were searched for relevant studies up to June 9, 2024. Randomized trials involving patients with cancer receiving home-based palliative care were included. A forest plot was generated using the DerSimonian and Laird random-effects model.

Results: A total of 8 studies were included in the final analysis. Home-based palliative care appeared to enhance the quality of life of patients with cancer (pooled standard mean difference, 0.45 [95% confidence interval, 0.04-0.86]; P = .03).

Conclusion: Home-based palliative care improves the quality of life for patients with cancer. Further research with larger sample sizes and more rigorous methodologies is needed.

Implication for practice: The findings highlight the value of home-based palliative care as a model to address the needs of patients with cancer at home, improving their quality of life, similar to hospital-based care.

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以家庭为基础的姑息治疗对癌症患者生活质量的影响：随机对照试验的系统回顾和meta分析。

背景：对癌症患者实施以家庭为基础的姑息治疗的目的是减轻痛苦，提高生活质量，无论疾病处于什么阶段。然而，这些干预措施的结果尚无定论。目的：探讨以家庭为基础的姑息治疗对癌症患者生活质量的影响。干预措施/方法：截至2024年6月9日，检索了六个数据库（CINAHL, Cochrane Library， EMBASE， MEDLINE, PubMed, Web of Science）的相关研究。随机试验包括接受家庭姑息治疗的癌症患者。使用DerSimonian和Laird随机效应模型生成森林样地。结果：最终分析共纳入8项研究。以家庭为基础的姑息治疗似乎可以提高癌症患者的生活质量(合并标准平均差为0.45[95%置信区间，0.04-0.86]；P = .03)。结论：以家庭为基础的姑息治疗改善了癌症患者的生活质量。进一步的研究需要更大的样本量和更严格的方法。对实践的启示：研究结果强调了以家庭为基础的姑息治疗作为一种模式的价值，以满足癌症患者在家中的需求，改善他们的生活质量，类似于以医院为基础的护理。

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

Cancer Nursing 医学-护理

CiteScore

4.80

自引率

3.80%

发文量

244

审稿时长

6-12 weeks

期刊介绍： Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.