摘要
Objective This study aimed to adapt relevant clinical practice guidelines for distress management in cancer patients based on A Guideline Adaptation and Implementation Planning Resource(CAN-IMPLEMENT),and develop Cancer-related Distress Management Guidelines in the context of the research site.Methods According to CAN-IMPLEMENT,the symptoms of cancer patients in Shanghai were investigated,and a work plan was formulated to adapt cancer-related distress management guidelines.The relevant clinical practice guidelines for distress management in cancer patients were searched,screened and assessed,the contents of the included clinical practice guidelines were screened,extracted and integrated,and the Cancer-related Distress Management Guidelines was developed.After peer review,the Cancer-related Distress Management Guidelines was finally formed.Results The physical symptom distress score was higher than the psychological symptom distress score among cancer patients in Shanghai.Two clinical practice guidelines related to distress management in cancer patients were included after searching,screening,assessment and selection systematically.The domain scores of the draft Cancer-related Distress Management Guidelines on Appraisal of Guidelines for Research and Evaluation II(AGREE II)were 73.75%–87.50%,respectively.The scores of most recommendations on feasibility,appropriateness,meaningfulness and effectiveness were at least 90%.The final guidelines included 13 recommendations.Conclusions The quality of the draft Cancer-related Distress Management Guidelines based on two included guidelines was well-accepted.The final Cancer-related Distress Management Guidelines needs to be further verified in clinical practice for feasibility,suitability and effectiveness.
目的依据指南整合和应用方法(A Guideline Adaptation and Implementation Planning Resource,CAN-IMPLEMENT),对肿瘤患者心理痛苦管理的相关临床实践指南进行改编,制订适合临床情境的癌因性心理痛苦管理指南。方法调查上海市癌症患者症状现况,基于CAN-IMPLEMENT,制订癌因性心理痛苦管理指南改编的工作计划。对肿瘤患者心理痛苦管理相关临床实践指南进行系统地检索、筛选和评估,对纳入的临床实践指南进行内容筛选、提取和整合,形成《癌因性心理痛苦管理指南》初稿。经同行评审,最终形成《癌因性心理痛苦管理指南》。结果上海市肿瘤患者生理症状困扰评分高于心理症状困扰评分。在系统、规范地进行检索、筛选、评估和选择后,纳入与肿瘤患者心理痛苦管理相关的2份临床实践指南。《癌因性心理痛苦管理指南》初稿在临床指南研究与评估系统Ⅱ(Appraisal of Guidelines for Research and EvaluationⅡ,AGREEⅡ)各领域得分为73.75%~87.50%。大多数推荐意见在可行性、适宜性、临床意义和有效性方面的得分为90.0%或更高。指南终稿中包括13条推荐意见。结论基于2份纳入的指南,《癌因性心理痛苦管理指南》初稿的质量被广泛接受。《癌因性心理痛苦管理指南》终稿需要在临床实践中进一步验证其可行性、适宜性和有效性。
作者
Liang Fu
Yang Yang
Yan Hu
Zhenqi Lu
Xiaoju Zhang
Mingzhu Huang
Yuanyuan Li
Fuzhong Zhu
Yang Wang
Zhe Huang
傅亮;杨㻛;胡雁;陆箴琦;张晓菊;黄明主;李园园;朱福忠;汪洋;黄詰(School of Nursing,Fudan University,Shanghai,China;Department of Nursing,Affiliated Jinhua Hospital,Zhejiang University School of Medicine,Jinhua,China;Department of Oncology,Fudan University Shanghai Cancer Center,Shanghai,China;Department of Nursing,Fudan University Shanghai Cancer Center,Shanghai,China;Department of Psychological Medicine,Zhongshan Hospital Affiliated to Fudan University,Shanghai,China;Department of Social Work,Fudan University Shanghai Cancer Center,Shanghai,China;Department of Integrated Therapy,Fudan University Shanghai Cancer Center,Shanghai,China)
