Barriers in Nursing Practice in Cancer Cachexia: A Scoping Review.
Barriers in Nursing Practice in Cancer Cachexia: A Scoping Review.
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DOI：
10.4103/apjon.apjon-2152
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发表时间：
2021-09
影响因子：
1.8
通讯作者：
Hayashi N
中科院分区：
文献类型：
--
作者：
Sato R;Naito T;Hayashi N
这一范围审查的目的是确定在实践和临床试验中的障碍，肿瘤科护士在癌症恶病质。我们使用Arksey和O'Malley提出的框架以及系统性综述和荟萃分析扩展的首选报告项目进行范围综述。2008年至2021年间发表的英文研究检索自5个数据库：MEDLINE、科克伦图书馆、CINAHL、PsycINFO和EMBASE。共确定了1075项研究，并由三名研究人员评估了34项全文研究的合格性。17项研究符合纳入标准。这篇综述揭示了癌症恶病质的护理实践和临床试验的几个障碍。首先，包括护士在内的保健专业人员在实践中面临着个人障碍（对诊断和管理的理解和技能不足）和环境障碍（缺乏标准化的筛查工具或治疗方案，难以与其他专业人员合作，人力资源有限）。其次，护士主导的癌症恶病质干预研究相对较少，目标不同，使其具有挑战性的结果整合。最后，没有明确针对癌症恶病质的护士教育计划。这一范围审查揭示了护理实践中的个人和环境障碍。此外，有相对较少的临床试验涉及肿瘤护士在癌症恶病质。护士的继续教育应涵盖癌症恶病质，以提高未来的肿瘤护理质量。还需要标准化易于日常评估并导致干预的实用评估工具，并发展护士主导的多学科护理。
This scoping review aims to identify the barriers in practice and clinical trials for oncology nurses in cancer cachexia. We used the framework proposed by Arksey and O'Malley and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. Studies written in English and published between 2008 and 2021 were retrieved from five databases: MEDLINE, Cochrane Library, CINAHL, PsycINFO, and EMBASE. A total of 1075 studies were identified, and 34 full-text studies were assessed for eligibility by three researchers. Seventeen studies met the inclusion criteria. This review revealed several barriers to nursing practice and clinical trials in cancer cachexia. First, health-care professionals, including nurses, faced individual barriers (insufficient understanding and skills for diagnosis and management) and environmental barriers (lack of standardized screening tools or treatment options, difficulties in collaboration with other professions, and limited human resources) in practice. Second, studies on nurse-led interventions for cancer cachexia were relatively few and different in objectives, making it challenging to integrate the outcomes. Finally, there were no established educational programs for nurses that explicitly focused on cancer cachexia. This scoping review revealed individual and environmental barriers in nursing practice. In addition, there have relatively few clinical trials involving oncology nurses in cancer cachexia. Continuing education for nurses should cover cancer cachexia to improve the quality of oncology care in the future. It is also necessary to standardize practical assessment tools that are easy to assess daily and lead to interventions and develop nurse-led multidisciplinary care.
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影响因子：
4.4
作者：
Abu Sharour, Loai
通讯作者：
Abu Sharour, Loai
影响因子：
2.9
作者：
Buonaccorso L;Bertocchi E;Autelitano C;Allisen Accogli M;Denti M;Fugazzaro S;Martucci G;Costi S;Tanzi S
通讯作者：
Tanzi S
影响因子：
7.3
作者：
Arends J;Strasser F;Gonella S;Solheim TS;Madeddu C;Ravasco P;Buonaccorso L;de van der Schueren MAE;Baldwin C;Chasen M;Ripamonti CI;ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org
通讯作者：
ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org
影响因子：
2.7
作者：
Amano, Koji;Maeda, Isseki;Takagi, Ibuki
通讯作者：
Takagi, Ibuki
DOI：
10.1111/j.1744-1609.2012.00291.x
发表时间：
2012-12-01
影响因子：
--
作者：
Chen, Xiaojuan;Ang, Emily;Nasir, Nadiah Bte
通讯作者：
Nasir, Nadiah Bte