对儿科癌症患者及其家属的护理干预:范围综述。

IF 7.5 1区 医学 Q1 NURSING
Josefine Tang Rørbech , Pia Dreyer , Karin Enskär , Helle Haslund-Thomsen , Claus Sixtus Jensen
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引用次数: 0

摘要

背景:临床护理是儿科肿瘤学的重要组成部分。近年来,针对儿科肿瘤患者及其家属的研究干预措施不断增加。目的:本综述旨在全面概述针对儿科肿瘤患者及其家属的现有护理干预措施,概述干预措施的特点,并找出任何知识缺口:本综述根据 JBI 范围界定综述指南进行。从以下数据库中检索引文:Scopus、PubMed、CINAHL、PsycINFO 和 Embase。纳入标准如下:2000 年以来以英语、丹麦语、挪威语或瑞典语撰写的同行评议研究,报告对象为接受儿科肿瘤医院提供的非药物和非程序性护理干预的儿科癌症患者和/或儿科癌症患者家属。符合条件的研究由两名独立审稿人根据标题、摘要和全文进行筛选。使用混合方法评估工具进行严格评估:在 2762 篇参考文献中,有 26 项研究符合纳入标准,包括 25 项独特的护理干预措施。89%的研究发表于2013年以后,反映了儿科肿瘤治疗的快速变化。36%的研究采用定性方法,58%的研究采用定量方法,8%的研究采用混合方法。这些研究的特点是干预内容、组成部分、实施时间和实施模式相当多样化。60%的干预以父母为对象,其中母亲所占比例很高(75%)。16%的干预以家庭为中心:本综述有助于更全面地了解儿科肿瘤护理研究的证据基础。这一领域正在不断发展,并有可能在儿童癌症患者治疗的各个阶段为其家庭提供支持。然而,我们显然需要开发和测试真正以家庭为中心、同时针对患者和家庭成员的干预措施。在干预措施开发过程和干预措施特点的报告方面存在相当大的差距。为了提高研究质量,促进干预措施的后续调整或升级,以便在其他人群和环境中使用,有必要改进干预措施制定过程的报告。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing interventions for pediatric patients with cancer and their families: A scoping review

Background

Clinical nursing care is an essential element in pediatric oncology. The body of research interventions targeting pediatric oncology patients and their families has grown in recent years. However, no reviews are currently available on nursing interventions for pediatric oncology.

Aim

The aim was to develop a comprehensive overview of the available nursing interventions for pediatric oncology patients and their families, outline the characteristics of the interventions, and identify any knowledge gaps.

Methods

This review was conducted in accordance with the JBI guidelines for scoping reviews. Citations were retrieved from the following databases: Scopus, PubMed, CINAHL, PsycINFO, and Embase. The following inclusion criteria were applied: peer-reviewed studies written in English, Danish, Norwegian, or Swedish from 2000 onward and reporting on pediatric patients with cancer and/or family members of a pediatric patient with cancer who received non-pharmacological and non-procedural nursing interventions provided by a pediatric oncology hospital service. Eligible studies were screened by title and abstract, and in full text by two independent reviewers. Critical appraisal was achieved using the Mixed Methods Appraisal Tool.

Findings

Among 2762 references, 26 studies met the inclusions criteria, comprising 25 unique nursing interventions. 89 % had been published from 2013 onward, reflecting the rapid changes occurring in pediatric oncology treatment. 36 % were qualitative, 58 % were quantitative and 8 % employed mixed methods. The studies were characterized by considerable diversity in terms of intervention content, components, timing of delivery, and delivery mode. 60 % of the interventions were targeted parents among whom mothers were highly overrepresented (75 %). 16 % adopted a family-centered focus.

Conclusion

This review contributes to building a more comprehensive understanding of the evidence base within pediatric oncology nursing research. This field is evolving and holds the potential to support families with childhood cancer across various phases of their treatment trajectory. However, a clear need exists to develop and test interventions with a genuinely family-centered focus, targeting both patients and family members. A considerable gap exists in reporting of the intervention development process and intervention characteristics. Improving the reporting of intervention development is needed to enhance research quality and facilitate subsequent adaptation or upscaling of interventions for use in other populations and contexts.
Tweetable abstract: Nursing interventions can support families with childhood cancer but future intervention studies need to enhance transparency in reporting @IJNSjournal
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来源期刊
CiteScore
15.00
自引率
2.50%
发文量
181
审稿时长
21 days
期刊介绍: The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).
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