头颈癌患者治疗和康复的社会影响的系统综述

Rebecca T. Bernstein, Aphra Garner-Purkis, Jennifer E. Gallagher, Sasha Scambler
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引用次数: 0

摘要

目的是研究治疗和康复对头颈癌(HNC)患者的社会影响。综合检索OVID (Embase, Medline, Pubmed, PsycINFO)和Web of Science后,使用混合方法评估工具(MMAT)评估所有纳入研究的方法学质量。使用系统评价和荟萃分析首选报告项目(PRISMA)清单报告研究结果。从14661篇文献中筛选出46篇符合纳入标准,其中定量方法25篇,定性方法14篇,混合方法7篇。大多数论文集中在饮食和吞咽影响的主题上(n = 16),其次是使用一般生活质量测量的组(n = 11)。方法上的不足涉及样本量小和随访时间相对较短。定性研究揭示了广泛的社会影响,这些影响与癌症、治疗教育以及治疗副作用的负面影响有关。文献表明,HNC患者经历了一系列与身份、关系、所从事的活动和文化问题相关的社会影响。本综述认为,如何优化HNC患者的护理,迫切需要更深入、更大规模的前瞻性研究和定性研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A systematic review of social impacts of treatment and rehabilitation of head and neck cancer patients
The objective was to examine the social impacts of treatment and rehabilitation on patients with head and neck cancer (HNC). Following a comprehensive search of OVID (Embase, Medline, Pubmed, PsycINFO) and Web of Science, the Mixed Methods Appraisal Tool (MMAT) was used to assess the methodological quality of all included studies. The findings were reported using Preferred Reporting Items of Systematic review and Meta-Analyses (PRISMA) checklist. From 14,661 papers identified, 46 were eligible for inclusion of which 25 were quantitative, 14 qualitative and 7 mixed methods. Most papers focussed on the theme of eating and swallowing impacts (n = 16), with the next most frequent group using general quality-of-life measures (n = 11). Methodological inadequacy concerned small sample sizes and relatively short follow-up times. Qualitative studies revealed a wide range of social impacts which affect patients relating to the cancer, therapeutic education, and the negative impact of treatment side effects over time. The literature suggests that HNC patients experience a range of social impacts linked to identity, relationships, activities undertaken, and cultural issues. This review concludes that more in-depth larger scale prospective research as well as qualitative research is urgently needed to ascertain how to optimize care for HNC patients.
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