Systematic review of illness uncertainty management interventions for cancer patients and their family caregivers.
Systematic review of illness uncertainty management interventions for cancer patients and their family caregivers.
复制标题
对癌症患者及其家庭护理人员的疾病不确定性管理干预措施的系统评价。
DOI：
10.1007/s00520-020-05931-x
复制
发表时间：
2021-08
期刊：
影响因子：
--
通讯作者：
Song L
中科院分区：
文献类型：
--
作者：
Guan T;Qan'ir Y;Song L
疾病不确定性弥漫在个人的癌症经历中，贯穿于疾病轨迹，并与心理适应不良有关。本综述系统地考察了在癌症患者和/或其家庭照顾者中促进疾病不确定性管理的干预措施的特点和结果。系统检索PubMed、Scope us、QicINFO、CINAHL、Embase和Cochrane系统综述数据库中的相关文献。我们包括随机对照试验(RCT)和准实验研究，重点关注癌症患者和/或他们的家庭照顾者对不确定性管理的干预。我们的数据库搜索得到了26项研究。只为癌症患者提供了20项干预措施，这些患者大多是老年人、女性和白人。所有干预措施都包括信息支持。其他干预成分包括情绪支持、评价支持和工具性支持。大多数干预措施是面对面和通过电话(n = 8)或仅通过面对面(n = 7)提供的。总体而言，18项研究确定了对疾病不确定性结果的积极干预效果。这项系统回顾突出了几种干预措施的前景，特别是多成分干预措施，以促进癌症患者及其家庭照顾者之间的不确定性管理。为了进一步提高这些干预措施的有效性并扩大其潜在影响，应使用严格的方法在更多不同的人群中测试未来的不确定性管理干预措施。
Illness uncertainty pervades individuals’ experiences of cancer across the illness trajectory and is associated with poor psychological adjustment. This review systematically examined the characteristics and outcomes of interventions promoting illness uncertainty management among cancer patients and/or their family caregivers. PubMed, Scopus, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, and Cochrane Database of Systematic Reviews were systematically searched for relevant literature. We included randomized controlled trials (RCTs) and quasi-experimental studies focusing on interventions for uncertainty management in cancer patients and/or their family caregivers. Our database searches yielded 26 studies. Twenty interventions were only offered to cancer patients, who were mostly elder, female, and White. All interventions included informational support. Other intervention components included emotional support, appraisal support, and instrumental support. Most interventions were delivered in person and via telephone (n = 8) or exclusively in person (n = 7). Overall, 18 studies identified positive intervention effects on illness uncertainty outcomes. This systematic review foregrounds the promising potential of several interventions—and especially multi-component interventions—to promote uncertainty management among cancer patients and their family caregivers. To further improve these interventions’ effectiveness and expand their potential impact, future uncertainty management interventions should be tested among more diverse populations using rigorous methodologies.
登录
查看更多内容
影响因子：
4.7
作者：
Dharmarajan KV;Walters CB;Levin TT;Milazzo CA;Monether C;Rawlins-Duell R;Tickoo R;Spratt DE;Lovie S;Giannantoni-Ibelli G;McCormick B
通讯作者：
McCormick B
影响因子：
3.5
作者：
Mishel, Merle H.;Germino, Barbara B.;Blyler, Diane
通讯作者：
Blyler, Diane
影响因子：
3.7
作者：
Moher D;Shamseer L;Clarke M;Ghersi D;Liberati A;Petticrew M;Shekelle P;Stewart LA;PRISMA-P Group
通讯作者：
PRISMA-P Group
影响因子：
2.8
作者：
Chow, Ka Ming;Chan, Carmen W. H.;Siu, K. Y.
通讯作者：
Siu, K. Y.
影响因子：
3.7
作者：
Lebel, Sophie;Maheu, Christine;Catton, Pamela
通讯作者：
Catton, Pamela