Social determinants of health among family caregiver centered outcomes in lung cancer: a systematic review.

Social determinants of health among family caregiver centered outcomes in lung cancer: a systematic review.
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DOI:
10.21037/jtd-22-1613
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发表时间:
2023-05-30
影响因子:
2.5
通讯作者:
Kim, Jae Y.
Kim, Jae Y.
中科院分区:
医学4区
文献类型:
--
作者:
Teteh, Dede;Love, Madeleine;Ericson, Marissa;Chan, Marissa;Phillips, Tanyanika;Toor, Aroona;Ferrell, Betty;Erhunmwunsee, Loretta;Montgomery, Susanne B.;Sun, Virginia;Kim, Jae Y.

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肺癌是全球癌症死亡的主要原因。肺癌患者和家庭护理人员 (FCG) 的生活质量 (QOL) 需求均未得到满足。肺癌研究中一个未被充分研究的主题是健康社会决定因素 (SDOH) 对该人群生活质量结果的作用。本综述的目的是探讨以 SDOH FCGs 为中心的肺癌结局的研究现状。检索了 PubMed/MEDLINE、Cochrane Library、Cumulative Index to Nursing and Allied Health Documentation 和美国心理学会 (APA) PsycInfo 数据库,以查找评估过去十年内发表的 FCG 上定义的 SDOH 领域的同行评审手稿。使用 Covidence 提取的信息包括患者、FCG 和研究特征。使用约翰霍普金斯护理循证实践评级量表评估文章的证据水平和质量。在评估的 344 篇全文文章中,有 19 篇纳入本次审查。社会和社区背景领域侧重于护理压力源和减少其影响的干预措施。医疗保健的获取和质量领域显示出心理社会资源的障碍和利用不足。经济稳定领域表明 FCG 承受着显着的经济负担。关于 SDOH 对以 FCG 为中心的肺癌结局的影响的文章中出现了四个相互关联的主题:(I) 心理健康、(II) 整体生活质量、(III) 关系质量和 (IV) 经济困难。值得注意的是,大多数研究参与者是白人女性。用于衡量 SDOH 因素的工具主要包括人口变量。目前的研究提供了 SDOH 因子对肺癌 FCG 生活质量影响的证据。在未来的研究中扩大使用经过验证的 SDOH 措施将提供更大的数据一致性,从而为改善生活质量的干预措施提供信息。应开展进一步的研究,重点关注教育质量和教育机会以及社区和建筑环境领域,以弥合知识差距。
Lung cancer is the leading cause of cancer death globally. Both lung cancer patients and family caregivers (FCGs) have unmet quality of life (QOL) needs. An understudied topic in lung cancer research is the role of social determinants of health (SDOH) on QOL outcomes for this population. The purpose of this review was to explore the state of research on SDOH FCGs centered outcomes in lung cancer. The databases PubMed/MEDLINE, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, and American Psychological Association (APA) PsycInfo were searched for peer-reviewed manuscripts evaluating defined SDOH domains on FCGs published within the last ten years. The information extracted using Covidence included patients, FCGs and study characteristics. Level of evidence and quality of articles were assessed using the Johns Hopkins Nursing Evidence-Based Practice Rating Scale. Of the 344 full-text articles assessed, 19 were included in this review. The social and community context domain focused on caregiving stressors and interventions to reduce its effects. The health care access and quality domain showed barriers and underuse of psychosocial resources. The economic stability domain indicated marked economic burdens for FCGs. Four interconnected themes emerged among articles on the influence of SDOH on FCG-centered outcomes in lung cancer: (I) psychological well-being, (II) overall quality of life, (III) relationship quality, and (IV) economic hardship. Notably, most participants in the studies were White females. The tools used to measure SDOH factors included primarily demographic variables. Current studies provide evidence on the role of SDOH factors on lung cancer FCGs’ QOL. Expanded utilization of validated SDOH measures in future studies would provide greater consistency in data, that could in turn inform interventions to improve QOL. Further research focusing on the domains of education quality and access and neighborhood and built environment should be carried out to bridge gaps in knowledge.
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