查看更多>>摘要：目的 对肺癌幸存者社会疏离的研究现状、影响因素、评估工具进行范围综述，为临床医护人员制定干预措施提供研究思路。 方法 采用范围综述的框架，系统检索中国知网、万方、维普网、中国生物医学文献数据库、Embase、PubMed、Web of Science、CINAHL及Cochrane Library中收录的肺癌幸存者社会疏离的相关研究，检索时限为建库至2023年3月18日。 结果 共纳入18篇文献，研究区域分布于亚洲、北美洲、欧洲三大洲，包括中国、美国、西班牙等7个国家，研究工具中使用较为频繁的为加利福尼亚大学洛杉矶分校孤独量表和癌症孤独感量表。患者社会疏离的发生率和严重程度在不同研究结果之间存在一定差异。肺癌幸存者社会疏离的影响因素包括人口学因素、疾病相关因素、症状因素及心理社会因素。 结论 肺癌幸存者社会疏离在一定程度上会影响患者的生存质量，虽然目前肺癌幸存者社会疏离的测评工具种类较多，但总体上缺乏特异性评估工具，提示医护人员在今后构建相关测评工具时可考虑增加特异性研究工具的开发和应用，根据影响因素制定个性化的干预措施，以帮助患者减轻社会疏离。 Objective To conduct a scoping review of the current research status, influencing factors, and assessment tools regarding social isolation in lung cancer survivors and provide research ideas for clinical medical and nursing staff to develop interventional measures. Methods Based on the framework of a scoping review, systematic searches were conducted in databases including CNKI, Wanfang, VIP, CBM, Embase, PubMed, Web of Science, CINAHL, and Cochrane Library for studies on social isolation in lung cancer survivors, up to March 18, 2023. Results Eighteen articles were included, with research distributed across three continents (Asia, North America, Europe) and in seven countries, including China, the USA, and Spain. Frequently used research tools included the University of California Los Angeles Loneliness Scale and the Cancer Loneliness Scale. Rates and severity of social isolation varied across different studies. Factors influencing social isolation in lung cancer survivors included demographic factors, disease-related factors, symptom factors, and psychosocial factors. Conclusions Social isolation in lung cancer survivors can affect their quality of life to a certain extent. Although there are various tools for assessing social isolation in lung cancer survivors, there is a general lack of specific assessment tools. This suggests that medical and nursing personnel should consider developing and applying more specific research tools when developing related assessment tools in the future and develop personalized intervention measures based on influencing factors to help patients alleviate social isolation.
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