与接受治疗的癌症患者生活质量相关的社会心理因素:综述

IF 3.2 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Chiara Marzorati, Viktorya Voskanyan, Diana Sala, Roberto Grasso, Federico Borgogni, Ricardo Pietrobon, Iris van der Heide, Merel Engelaar, Nanne Bos, Augusto Caraceni, Norbert Couspel, Montse Ferrer, Mogens Groenvold, Stein Kaasa, Claudio Lombardo, Aude Sirven, Hugo Vachon, Alexandra Gilbert, Cinzia Brunelli, Giovanni Apolone, Gabriella Pravettoni
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引用次数: 0

摘要

背景:癌症治疗极大地影响了癌症患者的生理和心理功能,对其生活质量(QoL)产生负面影响。本综述旨在系统总结与接受治疗的癌症患者生活质量正相关或负相关的心理和社会因素。方法:检索PubMed、Embase、Scopus和PsycInfo四个科学数据库,检索2012 - 2023年间分析癌症患者生活质量与心理社会因素关系的系统综述。UR是根据系统评价和荟萃分析的首选报告项目(PRISMA)和乔安娜布里格斯研究所(JBI)的审查指南进行的。采用多系统评价2 (AMSTAR2)评价纳入研究的方法学质量。结果:纳入18篇系统评价。影响生活质量的主要心理因素有抑郁、应对策略、焦虑和苦恼。社会因素对癌症患者的生活质量有显著影响:感知到的社会支持对癌症患者的生活质量有正向影响,而社会支持降低、社会功能障碍、互动障碍和角色限制使癌症患者的生活质量和整体幸福感恶化。结论:本研究提供了影响癌症患者生活质量的心理社会因素的全面概述,为制定旨在测量癌症患者治疗生活质量的问卷和政策提供了重要基础。此外,本研究的发现可以指导未来的研究或开发个性化的临床干预措施,旨在改善这一癌症人群的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychosocial factors associated with quality of life in cancer patients undergoing treatment: an umbrella review.

Background: Cancer treatment greatly impacts physical and psychological functioning of cancer patients, negatively affecting their quality of life (QoL). This Umbrella Review (UR) aims to systematically summarize psychological and social factors positively or negatively associated with QoL in cancer patients undergoing treatment.

Method: Four scientific databases (PubMed, Embase, Scopus, and PsycInfo) were searched to identify systematic reviews between 2012 and 2023 analyzing the relationship between QoL and psychosocial factors in cancer patients in treatment. The UR was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Joanna Briggs Institute (JBI) review guidelines. The methodological quality of the included studies was evaluated using Assessment of Multiple Systematic Reviews 2 (AMSTAR2).

Results: Eighteen systematic reviews were included. The major psychological factors influencing QoL are depression, coping strategies, anxiety, and distress. Results also demonstrate the significant impact of social factors on QoL: perceived social support has a positive influence on QoL of cancer patients, while lowered social support, impaired social functioning, interactions, and role limitations worsen their QoL and overall well-being.

Conclusion: This UR provides a comprehensive overview of the psychosocial factors impacting QoL of cancer patients and serves as a prominent base for developing questionnaires and policies aimed at measuring QoL in cancer patients undergoing treatment. Moreover, the findings of the study can guide future research or the development of personalized clinical interventions aimed at improving QoL for this cancer population group.

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来源期刊
CiteScore
7.30
自引率
2.80%
发文量
154
审稿时长
3-8 weeks
期刊介绍: Health and Quality of Life Outcomes is an open access, peer-reviewed, journal offering high quality articles, rapid publication and wide diffusion in the public domain. Health and Quality of Life Outcomes considers original manuscripts on the Health-Related Quality of Life (HRQOL) assessment for evaluation of medical and psychosocial interventions. It also considers approaches and studies on psychometric properties of HRQOL and patient reported outcome measures, including cultural validation of instruments if they provide information about the impact of interventions. The journal publishes study protocols and reviews summarising the present state of knowledge concerning a particular aspect of HRQOL and patient reported outcome measures. Reviews should generally follow systematic review methodology. Comments on articles and letters to the editor are welcome.
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