摘要
目的:系统评价针对癌症病人照顾者益处发现的干预措施及其效果。方法:计算机检索PubMed、the Cochrane Library、Web of Science、EMbase、EBSCOhost、中国知网、中国生物医学文献数据库、万方数据库和维普数据库中有关癌症病人照顾者益处发现干预研究的文献,检索时限为建库至2021年1月31日,研究设计为随机对照试验(RCT)。2名研究者按纳入、排除标准独立筛选文献、进行质量评价并提取资料,对于同种干预措施≥2篇的文献,采用Meta分析的方法合并结果,反之则采用定性的方法总结干预措施及其效果。结果:最终纳入9篇文献,共涉及样本量828例。4项研究采用怀旧疗法进行干预,Meta分析结果显示,实施怀旧疗法后,照顾者的益处发现水平得到提高,与常规护理相比差异有统计学意义[MD=8.95,95%CI(6.49,11.41),P<0.00001];其余干预方法有以意义为中心的疗法、正念干预、压力管理干预、聚焦解决模式健康教育及基于信息-动机-行为的延续性护理,也可提升癌症病人照顾者的益处发现。结论:现有证据表明,以上干预措施均能在干预后即刻提高癌症病人照顾者的益处发现水平,但对干预实施者资质要求较高,且未评价干预效果是否可以维持,未来的研究可以延长随访时间以评价干预的中期和远期效果。
Objective:To systematically evaluate the intervention measures for benefit finding of caregivers of cancer patients and their effects.Methods:Literatures on benefit finding intervention studies for caregivers of cancer patients were searched from PubMed,the Cochrane Library,Web of Science,EMbase,EBSCOhost,CNKI,CBM,WanFang Database,VIP.the retrieval time was from inception to January 31,2021.The studies was designed as a randomized controlled trial(RCT).Two researchers independently screened the literature,evaluated the quality and extracted data according to the inclusion and exclusion criteria.For the literature with≥2 interventions of the same type,Meta-analysis was used to merge the results.On the contrary,qualitative methods were used to summarize the interventions and their effects.Results:Nine studies were included,involving 828 cases.Four studies used reminiscence therapy for intervention,and the Meta-analysis results showed that,after the implementation of reminiscence therapy,the benefit finding level of caregivers was improved,and the difference was statistically significant compared with routine nursing[MD=8.95,95%CI(6.49,11.41),P<0.00001];Other intervention methods include meaning centered therapy,mindfulness intervention,stress management intervention,focused solution model health education and continuous nursing based on information motivation behavior,which can also improve the benefit finding of caregivers of cancer patients.Conclusion:Current evidences shows that the above intervention measures can improve the benefit finding level of caregivers of cancer patients immediately after the intervention,but the qualification requirements for intervention implementers are high,and whether the intervention effect can be maintained is not evaluated.Future studies can extend the follow-up time to evaluate the medium-term and long-term effects of the intervention.
作者
陈园园
陈晨
郜根娣
李玲
尚星辰
李青荷
CHEN Yuanyuan;CHEN Chen;GAO Gendi;LI Ling;SHANG Xingchen;LI Qinghe(Yancheng Third People′s Hospital,Jiangsu 224005 China)
出处
《循证护理》
2022年第4期455-461,共7页
Chinese Evidence-Based Nursing
关键词
癌症
照顾者
益处发现
干预
护理
系统评价
cancer
caregivers
benefit finding
interventions
nursing
systematic review
