我们可以从癌症患者照护者的社会心理支持证据中学到什么?我们如何推进我们的努力?一项荟萃综述研究。

IF 3.1 2区 医学 Q2 ONCOLOGY
Brona Nic Giolla Easpaig, Bronwyn Newman, Judith Johnson, Rebekah Laidsaar-Powell, Ursula M Sansom-Daly, Lucy Jones, Lukas Hofstätter, Eden G Robertson, Stephen Mears, Kabir Sattarshetty, Rachel E Houweling, Rhiannon Edge, Joanne Cummings, Reema Harrison
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引用次数: 0

摘要

目的:有关支持癌症幸存者照护者福祉的规划的文献大量、复杂且难以浏览,这给识别和翻译相关证据带来了困难。这项研究将通过绘制和综合综述来解决以下问题,从而推动该领域的发展:“根据综述的证据,有哪些心理社会干预措施可以促进癌症患者护理人员的福祉?”方法:对2013年至2024年间发表的综述进行meta综述。检索PsycINFO、MEDLINE、CINAHL和Cochrane系统评价数据库及相关参考文献列表,寻找符合条件的综述。根据方法筛选和评估记录,并从纳入的综述中提取和合成数据。系统评价和元分析指导报告的首选报告项目。使用JBI系统评价和研究综合关键评价清单对评价进行评价。结果:最终有54篇综述符合纳入标准。这些证据与人群、干预措施和结果有关,包括抑郁、焦虑、生活质量和痛苦。平均而言,评审处理11个质量检查表项中的9个。我们获得了关于理论作用、护理人员群体和干预特征的见解。结论:确定了证据体的关键特征,这些特征可能阻碍进展,并指出了前进的方向。结论是,需要一个重新校准的护理人员研究议程,一个旨在综合证据,说明什么是有效的,哪些护理人员可以取得什么样的结果,或者解决哪种类型的社会心理支持需求。对癌症幸存者的影响:尽管有必要确保护理人员在照顾亲人时能够获得支持他们健康的项目,但指导项目开发的证据是复杂而难以驾驭的。需要重新聚焦研究工作,以促进对护理人员最有效的理解,以及如何将其转化为临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What can we learn from the evidence of psychosocial support for carers of people with cancer and how do we advance our efforts? A meta-review study.

Purpose: Literature concerning programmes to support the well-being of carers of cancer survivors is vast, complex, and difficult to navigate, posing difficulties for identifying and translating relevant evidence. This study will advance the field by mapping and synthesising reviews to address the question: "What psychosocial interventions are available to promote the well-being of carers for people diagnosed with cancer, as reported in the evidence from reviews?".

Methods: A meta-review was conducted of reviews published between 2013 and 2024. PsycINFO, MEDLINE, CINAHL, and Cochrane Database of Systematic Reviews databases and relevant reference lists were searched for eligible reviews. Records were screened and assessed in accordance with the method with data from included reviews extracted and synthesised. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis guided reporting. Reviews were appraised using the JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses.

Results: Ultimately, 54 reviews met the inclusion criteria. This evidence was mapped regarding populations, interventions, and outcomes, including depression, anxiety, quality of life, and distress. On average, reviews addressed nine of 11 quality checklist items. Insights were gained concerning the role of theory, carer populations, and intervention characteristics.

Conclusion: Key features of the body of evidence were identified that can hinder progress and which point to ways forward. It is concluded that a recalibrated carer research agenda is needed, one that is designed to synthesise evidence concerning what works, for which carers to achieve what outcomes, or to address which kinds of psychosocial support needs.

Implications for cancer survivors: Despite the need to ensure that carers have access to programs that support their wellbeing as they care for their loved ones, the evidence to guide program development is complex and difficult to navigate. A refocusing of research efforts is needed to advance understanding of what is most effective for carers, and how this can be translated into clinical practice.

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来源期刊
CiteScore
7.00
自引率
10.80%
发文量
149
审稿时长
>12 weeks
期刊介绍: Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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