摘要
目的 系统分析癌症患者失志综合征干预方案的相关研究,识别干预的具体内容、结局指标和干预效果,以期为医护人员开展相关干预提供参考.方法 根据范围综述的研究方法,计算机检索中国知网、万方、维普、CBM、Cochrane Library、PubMed、Embase、Web of Science 等数据库,检索时限为建库至 2022 年 8 月 31日.对纳人文献进行筛选、汇总和分析.结果 最终纳入10篇文献,总结癌症患者失志综合征干预方案及干预的结局指标,干预方案包括干预前评估、诱导干预、正式干预三部分,干预前评估人口学特征及心理状态;诱导干预包括冥想、瑜伽等,正式干预包括意义疗法、承诺接受疗法及尊严疗法等.结论 癌症患者失志综合征的干预内容多样,实施策略不固定,干预方案安全性较好,有一定的干预效果.建议医护人员根据癌症患者失志综合征的特点,制定科学、合理的干预方案.
Abstract
Objective To systematically analyze the relevant studies of intervention programs for cancer patients with asthenia syndrome,identify the specific content,outcome indicators and intervention effects,so as to provide references for medical staff to carry out relevant intervention.Methods According to the research methods of scope review,databases including CNKI,Wanfang,VIP,CBM,Cochrane Library,PubMed,Embase and Web of Science were searched with the time setting until August 31,2022.The included literature was screened,summarized and analyzed.Results A total of 10 articles were included.The intervention plan covered three parts of evaluation,pre-intervention assessment,induction intervention and formal intervention.The demographic characteristics were evaluated before intervention,and induction intervention referred to meditation and yoga,while formal intervention included meaning therapy,commitment therapy and dignity therapy.The outcome measures of the intervention were also summarised.Conclusion At present,the intervention for patients with cancer asystagogic syndrome is of great variety,with flexible strategies and certain effect.Future studies should clarify more effective intervention strategies,and work out scientific and appropriate intervention programs.