成人脑瘤患者人格和行为变化的心理社会干预:范围界定综述。

IF 2.4 Q2 CLINICAL NEUROLOGY
Neuro-oncology practice Pub Date : 2023-06-13 eCollection Date: 2023-10-01 DOI:10.1093/nop/npad031
Emma McDougall, Lauren J Breen, Anna K Nowak, Haryana M Dhillon, Georgia K B Halkett
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引用次数: 0

摘要

背景:本范围综述的目的是描述旨在管理脑肿瘤患者个性和行为变化的心理社会干预的干预特征和有效性。次要目标是探讨这些干预措施是否对护理人员的结果产生影响。所考虑的性格和行为变化包括攻击性、冷漠、偏执、去抑制和情绪不稳定。方法:本审查按照乔安娜·布里格斯研究所的范围审查方法和系统审查和荟萃分析(PRISMA)的首选报告项目扩展范围审查进行。在PsycINFO、CINAHL、Medline(Ovid)和Scopus进行了搜索。我们综合了1996年至2022年发表的研究,这些研究评估了管理成人脑肿瘤相关人格和行为变化的干预措施。使用了基于乔安娜·布里格斯研究所模板的数据提取工具。结果显示在汇总表中,并进行了叙述性综合。结果:筛选了三千五百九十四份记录。标题和摘要筛选产生了29项可能符合条件的研究。全面筛查排除了24篇文章,5项干预措施符合纳入标准。干预措施在持续时间、分娩方式、环境和参与方面各不相同(例如,患者个人或患者和护理人员)。据报道,干预措施改善了原发性脑肿瘤患者的定向人格和行为改变症状。四项研究包括人格和行为变化症状的测量,两项研究包括护理人员的结果测量,并报告了护理人员知识的改善和护理人员痛苦的减少。所有研究的样本都不到100名参与者。研究的后续数据有限,使用不同的工具来评估个性和行为变化的存在和性质。结论:缺乏心理社会干预措施来支持患者及其护理人员管理脑肿瘤相关的个性和行为变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychosocial interventions for personality and behavior changes in adults with a brain tumor: A scoping review.

Background: The objective of this scoping review was to describe the intervention characteristics and effectiveness of psychosocial interventions aimed at managing personality and behavior changes in people with brain tumors. A secondary objective was to explore if these interventions had an impact on outcomes for carers. Personality and behavior changes considered included aggression, apathy, paranoia, disinhibition, and emotional lability.

Methods: This review was conducted following the Joanna Briggs Institute methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews. Searches were conducted in PsycINFO, CINAHL, Medline (Ovid), and Scopus. We synthesized studies published from 1996 to 2022 that evaluated interventions to manage brain tumor related personality and behavioral changes in adults. A data extraction tool were used based on the Joanna Briggs Institute template. Results are presented in a summary table and a narrative synthesis was conducted.

Results: Three thousand and five hundred and ninety-four records were screened. Title and abstract screening resulted in 29 potentially eligible studies. Full screening excluded 24 articles and 5 interventions met the inclusion criteria. The interventions were diverse in duration, delivery modality, setting, and participation (eg, the patient individually or patient and carer). The interventions reported improvements in the targeted personality and behavior change symptoms for patients with primary brain tumors. Four studies included a measure of personality and behavior change symptoms and two studies included a measure of outcomes for carers and reported improvements in carer knowledge and a reduction in carer distress. All studies sampled fewer than 100 participants. Studies had limited follow-up data and different tools were used to assess the presence and nature of personality and behavior changes.

Conclusions: There is a dearth of psychosocial interventions to support patients and their carers to manage brain tumor related personality and behavior changes.

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来源期刊
Neuro-oncology practice
Neuro-oncology practice CLINICAL NEUROLOGY-
CiteScore
5.30
自引率
11.10%
发文量
92
期刊介绍: Neuro-Oncology Practice focuses on the clinical aspects of the subspecialty for practicing clinicians and healthcare specialists from a variety of disciplines including physicians, nurses, physical/occupational therapists, neuropsychologists, and palliative care specialists, who have focused their careers on clinical patient care and who want to apply the latest treatment advances to their practice. These include: Applying new trial results to improve standards of patient care Translating scientific advances such as tumor molecular profiling and advanced imaging into clinical treatment decision making and personalized brain tumor therapies Raising awareness of basic, translational and clinical research in areas of symptom management, survivorship, neurocognitive function, end of life issues and caregiving
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