患者优先考虑的抗肿瘤化疗副作用的非药物干预:系统综述。

IF 0.4 Q4 NURSING
Revista Cuidarte Pub Date : 2024-10-11 eCollection Date: 2024-09-01 DOI:10.15649/cuidarte.3612
María Elizabeth Gómez-Neva, Edwin Pulido-Ramirez, Leidy Johana Ibañez-Rodriguez, Oscar Caroprese, Adriana Buitrago-Lopez
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引用次数: 0

摘要

导言:已经研究了不同的非药物干预措施来管理化疗引起的症状,但其有效性尚不清楚。目的:描述治疗成人抗肿瘤化疗继发症状的非药物干预措施。材料和方法:系统回顾分析性实验和观察性研究(2021年至2023年)。这些研究是经过选择的,数据是并行提取的。与第三位审稿人解决了差异。使用偏倚风险(RoB)工具和纽卡斯尔-渥太华量表(NOS)评估偏倚风险。文献是基于优先结果的描述性综合。结果:优先考虑的结果是中性粒细胞减少、疼痛、神经病变、恶心、呕吐、脱发、厌食和睡眠障碍。在发现的7520个参考文献中,有62个被纳入分析。穴位按压在控制恶心和呕吐等症状方面可能有效果。头皮冷敷的干预在脱发严重程度的阶段上表现出差异。其他干预措施表现出异质性。讨论:在控制化疗副作用的观察性和实验性研究中,非药物干预已被广泛描述;然而,存在同质性和高偏倚风险。结论:针对恶心、呕吐、睡眠障碍、中性粒细胞减少、脱发、厌食、疼痛、神经病变等患者优先考虑的继发症状,研究了穴位按压、肌肉按摩、音乐疗法、足浴等干预措施。有必要对干预措施和如何衡量结果进行标准化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Non-pharmacological interventions for side effects of antineoplastic chemotherapy prioritized by patients: systematic review.

Introduction: Different non-pharmacological interventions have been studied to manage symptoms derived from chemotherapy, but their effectiveness is unknown.

Objective: To describe non-pharmacological interventions for managing symptoms secondary to antineoplastic chemotherapy in adults.

Materials and methods: Systematic review of analytical experimental and observational studies (2021 to 2023). The studies were selected, and data was extracted in parallel. Discrepancies were resolved with a third reviewer. The risk of bias was assessed using the Risk of Bias (RoB) tool and The Newcastle-Ottawa Scale (NOS). The literature was synthesized descriptively based on prioritized outcomes.

Results: The prioritized outcomes were neutropenia, pain, neuropathy, nausea, vomiting, alopecia, anorexia, and sleep disorders. Out of 7520 references found, 62 were included for analysis. Acupressure showed a possible effect in controlling symptoms such as nausea and vomiting. The intervention with cold on the scalp showed differences in the stages of alopecia severity. Other interventions showed heterogeneity.

Discussion: Non-pharmacological interventions have been widely described in observational and experimental studies in the control of side effects of chemotherapy; however, there is homogeneity and a high risk of bias.

Conclusion: Acupressure, muscle massage, music therapy, foot baths, and other interventions have been studied for nausea, vomiting, sleep disorders, neutropenia, alopecia, anorexia, pain, and neuropathy as secondary symptoms prioritized by patients. It is necessary to standardize both the interventions and how measure the outcomes.

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来源期刊
Revista Cuidarte
Revista Cuidarte NURSING-
CiteScore
0.70
自引率
25.00%
发文量
53
审稿时长
19 weeks
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