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Interventions for preparing patients for chemotherapy and radiotherapy: A systematic review

机译:为患者准备化疗和放疗的干预措施:系统评价

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Purpose: Undergoing chemotherapy and radiotherapy can be physically and psychologically stressful for people with cancer. Providing preparatory information to cancer patients as they face treatment and its aftermath has the potential to improve patient outcomes. This study assessed the methodological quality and effectiveness of interventions providing preparatory information about chemotherapy and/or radiotherapy to cancer patients in improving patient outcomes and health care use. Methods: MEDLINE, EMBASE, and Cochrane databases were systematically searched from January 1995 until October 2012. Inclusion criteria: (1) met Effective Practice and Organisation of Care (EPOC) criteria for study design; (2) included adults with a current cancer diagnosis; (3) delivered preparatory information via a health care provider or was self-directed; (4) examined psychological well-being, quality of life, physical symptoms, satisfaction, knowledge, or health service utilisation. Studies were assessed for methodological quality using the EPOC criteria. Results: Eighteen studies involving 3,443 cancer patients met inclusion criteria. Interventions included written information, audiotapes, videotapes, and computer programs. Interventions improved patient satisfaction (6/7 studies), information needs and patient knowledge (5/6 studies), physical symptoms (3/4 studies) and cost (1/1 study). More than half of the interventions improved psychological outcomes and quality of life (10/17 studies). Conclusion: Providing preparatory information can improve patient-reported outcomes in cancer patients undergoing chemotherapy and radiotherapy, especially with respect to satisfaction and knowledge. Some, but not all, studies improved psychological outcomes and physical symptoms. There is a need for methodologically rigorous research to determine the most effective timing and method of delivery of preparatory information to improve patient outcomes.
机译:目的:对癌症患者进行化学疗法和放射疗法可能会在生理和心理上产生压力。为癌症患者提供面对治疗的准备信息,其后果可能会改善患者的预后。这项研究评估了干预措施的方法学质量和有效性,为癌症患者提供了有关化学疗法和/或放射疗法的预备信息,以改善患者的预后和医疗保健使用。方法:从1995年1月至2012年10月,系统搜索MEDLINE,EMBASE和Cochrane数据库。纳入标准:(1)符合研究设计的有效实践和护理组织(EPOC)标准; (2)包括目前有癌症诊断的成年人; (3)通过医疗服务提供者提供的准备信息或是自我指导的; (4)检查了心理健康状况,生活质量,身体症状,满意度,知识或对医疗服务的利用。使用EPOC标准评估研究的方法学质量。结果:涉及3,443名癌症患者的18项研究符合纳入标准。干预措施包括书面信息,录音带,录像带和计算机程序。干预措施改善了患者的满意度(6/7研究),信息需求和患者知识(5/6研究),身体症状(3/4研究)和成本(1/1研究)。超过一半的干预措施改善了心理结果和生活质量(10/17研究)。结论:提供准备信息可以改善正在接受化疗和放疗的癌症患者报告的结局,尤其是在满意度和知识方面。一些(但不是全部)研究改善了心理结果和身体症状。需要进行严格的方法论研究,以确定提供预备信息以改善患者预后的最有效时机和方法。

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