Supportive Care Needs and Related Interventions in Patients with Pancreatic Cancer and Their Informal Caregivers: A Scoping Review.

IF 1.6 Q4 ONCOLOGY
Liang Fu, Su Hyun Kim, Deanna Dolores Garcia, Marcus Lambert, Lurheinna Rosado Rivera, Matt Hayward, Candice Vieira, Alexander Parikh, Ping Yu, Lixin Song
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引用次数: 0

Abstract

Purpose: This scoping review aims to provide a comprehensive literature review regarding supportive care needs and related interventions for patients with pancreatic cancer and/or their informal caregivers.

Methods: Following the Joanna Briggs Institute Manual for Evidence Synthesis, we conducted this review. In January 2025, we searched five English databases using the keywords "pancreatic cancer," "patients/caregivers," "supportive care," and "needs." We summarized the data employing the Supportive Care Framework.

Results: Of the 4752 references identified, 43 articles were included in the review. Among the 33 descriptive studies, informational needs emerged as the most frequently reported supportive care need, identified in studies involving both patients and informal caregivers (n = 6), patients only (n = 13), and informal caregivers only (n = 5). These were followed by emotional needs (n = 4) for both patients and informal caregivers, physical needs (n = 8) for patients only, and emotional (n = 4) and practical needs (n = 4) for informal caregivers only. Psycho-educational interventions were the most frequently reported approach for addressing the needs of both patients and informal caregivers, while pain/symptom management interventions were the most frequently used to support patients alone. Four studies demonstrated statistically significant improvements in outcomes for intervention groups compared to control groups.

Conclusion: Patients with pancreatic cancer and their informal caregivers experienced a spectrum of supportive care needs, particularly informational needs. Intervention strategies have been developed to address their supportive care needs, but only a few studies demonstrated statistically significant improvements in outcomes. These findings advance our understanding of the supportive care needs and related interventions for patients with pancreatic cancer and/or their informal caregivers, providing a foundation for future research and targeted interventions to better address these needs.

胰腺癌患者及其非正式照护者的支持性护理需求和相关干预:一项范围综述。
目的:本综述旨在对胰腺癌患者和/或其非正式护理人员的支持性护理需求和相关干预措施进行全面的文献综述。方法:根据乔安娜布里格斯研究所证据合成手册,我们进行了这项综述。在2025年1月,我们使用关键词“胰腺癌”、“患者/护理者”、“支持性护理”和“需求”搜索了5个英文数据库。我们采用支持性护理框架对数据进行总结。结果:在4752篇文献中,43篇文献被纳入综述。在33项描述性研究中,信息需求是最常报告的支持性护理需求,在涉及患者和非正式护理人员(n = 6)、仅患者(n = 13)和仅非正式护理人员(n = 5)的研究中均有发现。其次是患者和非正式护理人员的情感需求(n = 4),仅患者的身体需求(n = 8),以及仅非正式护理人员的情感需求(n = 4)和实际需求(n = 4)。心理教育干预是解决患者和非正式护理人员需求的最常见方法,而疼痛/症状管理干预最常用于单独支持患者。四项研究表明,与对照组相比,干预组的结果在统计学上有显著改善。结论:胰腺癌患者及其非正式护理人员经历了一系列支持性护理需求,特别是信息需求。已经制定了干预策略来解决他们的支持性护理需求,但只有少数研究表明结果有统计学上的显着改善。这些发现促进了我们对胰腺癌患者和/或其非正式护理者的支持性护理需求和相关干预措施的理解,为未来的研究和有针对性的干预措施提供了基础,以更好地满足这些需求。
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
CiteScore
3.80
自引率
0.00%
发文量
121
期刊介绍: The Journal of Gastrointestinal Cancer is a multidisciplinary medium for the publication of novel research pertaining to cancers arising from the gastrointestinal tract.The journal is dedicated to the most rapid publication possible.The journal publishes papers in all relevant fields, emphasizing those studies that are helpful in understanding and treating cancers affecting the esophagus, stomach, liver, gallbladder and biliary tree, pancreas, small bowel, large bowel, rectum, and anus. In addition, the Journal of Gastrointestinal Cancer publishes basic and translational scientific information from studies providing insight into the etiology and progression of cancers affecting these organs. New insights are provided from diverse areas of research such as studies exploring pre-neoplastic states, risk factors, epidemiology, genetics, preclinical therapeutics, surgery, radiation therapy, novel medical therapeutics, clinical trials, and outcome studies.In addition to reports of original clinical and experimental studies, the journal also publishes: case reports, state-of-the-art reviews on topics of immediate interest or importance; invited articles analyzing particular areas of pancreatic research and knowledge; perspectives in which critical evaluation and conflicting opinions about current topics may be expressed; meeting highlights that summarize important points presented at recent meetings; abstracts of symposia and conferences; book reviews; hypotheses; Letters to the Editors; and other items of special interest, including:Complex Cases in GI Oncology:  This is a new initiative to provide a forum to review and discuss the history and management of complex and involved gastrointestinal oncology cases. The format will be similar to a teaching case conference where a case vignette is presented and is followed by a series of questions and discussion points. A brief reference list supporting the points made in discussion would be expected.
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