护理指导可改善住院癌症患者的生活质量和免疫内分泌状况

Elsa Vitale, Mohadeseh Motamed-Jahromi, Mohammad Parvaresh-Masoud, Fulvia Lagattolla, Claudia Cormio, Francesca Romito, Raffaella Massafra
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引用次数: 0

摘要

导言任何癌症诊断都会引发恐惧和令人震惊的情绪体验,并伴随着焦虑、抑郁、不可预测性和痛苦。癌症诊断的情绪影响和癌症治疗的僵化会对患者的生活质量(QoL)产生负面影响,这种影响可能会在治疗后继续存在。此外,情绪困扰会诱发神经内分泌应激激活系统,并通过导致免疫功能紊乱来提高应激激素的分泌。本叙事性综述旨在描述改善癌症患者住院期间 QoL 感知的护理指导方法:本综述采用 PRISMA 方法,在 2023 年 11 月底之前通过 PubMed、Scopus、Web of Science 和 CINAHL 数据库进行检索。研究人员系统地收集了目前所有可用的文献。用于组合关键词的检索词和布尔运算符为"QoL "和 "住院 "和 "癌症患者 "和 "护理指导":本综述选取了四篇手稿。一篇稿件属于英国护理数据库,是一项混合随机研究;一篇稿件属于Scopus,同时也被PubMed、WoS和Medline收录,是一项RCT研究方案;两篇稿件属于PubMed数据库,均为RCT研究:结论:护理指导改善了癌症患者住院期间的生活质量感知。研究发现,患者更喜欢面对面的干预,而不是由护士主导的干预,这改善了患者的 QoL 感知。然而,为了更好地解决癌症患者住院期间的护理指导干预问题,还需要开展进一步的干预研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing Coaching Can Improve the Quality of Life and Immune-Endocrine Condition in Hospitalized Cancer Patients.

Introduction: Any cancer diagnosis induces fear and shocking emotional experiences accompanied by anxiety, depression, unpredictability, and distress. The emotional effect of a cancer diagnosis and the rigidity of cancer treatment negatively impact the quality of life (QoL) of patients, and this may continue after treatment. Additionally, emotional distress induces neuroendocrine stress activation systems and raises stress hormone secretion by causing immunological dysfunctions. The present narrative review aims to describe nursing coaching approaches that improve QoL perceptions among cancer patients during their hospitalization.

Methods: This review was carried out using the PRISMA methodology until the end of November 2023 through PubMed, Scopus, Web of Science, and CINAHL databases. Researchers systematically collected all the currently available literature. The search terms and boolean operators used to combine keywords were: "QoL" AND "hospitalization" AND "cancer patients" AND "nursing coaching".

Results: Four manuscripts were selected in the present review. One manuscript belonged to the British Nursing Database and was a mixed-block-randomized study; one belonged to Scopus, which was also in the PubMed, WoS, and Medline and was a study protocol for an RCT and two manuscripts belonged to the PubMed database and were all RCTs.

Conclusion: Nursing coaching improved QoL perceptions in cancer patients during their hospitalization. Patients were found to prefer in-person interventions to nurse-led ones, which improved QoL perceptions. However, further interventional studies need to be performed in order to better address coaching nursing interventions during the hospitalization of cancer patients.

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