摘要
目的对癌症管理与生命意义(CALM)疗法在癌症患者人群中应用的有关研究进行范围审查,为后续研究和临床推广应用提供参考。方法采用范围综述的研究方法,由2名受过循证培训的研究者采用盲法独立进行文献检索,检索中国知网、万方、维普、中国生物医学文献数据库、Cochrane Library、PubMed、Web of Science、CTNAHL、Embase、Scopus、Medline、EBSCO共12个数据库,检索时限为建库至2022年9月26日。收集CALM疗法应用于癌症患者的相关文献,提取纳入文献中的数据,总结并报告研究结果。结果共检索到2089篇文献,经过文献纳排标准最终纳入13篇文献,其中随机对照研究8篇,类实验研究2篇,质性研究3篇。结果显示,CALM疗法包括4个领域、3~8个单独的心理治疗疗程,每次30~60 min,持续3~6个月,是一种基于循证的简短且灵活的个性化心理治疗方法,易于被患者接受,可缓解晚期癌症患者负性情绪、促进其心理健康,未有文献报告CALM疗法相关不良事件的发生。结论CALM疗法对于癌症患者有积极影响,具有安全性和可行性,未来需构建一套具体、标准、本土化的CALM疗法方案,开展大样本、高质量的研究来验证CALM疗法在癌症患者中的应用效果,为制订癌症患者最佳CALM疗法方案提供循证依据。
Objective To review the scope of research on the application of managing cancer and living meaningfully(CALM)in cancer patient populations,and provide reference for follow-up research and clinical promotion and application.Methods Using the research method of scope review,two evidence-based trained researchers independently conducted a blind literature search.A total of 12 databases were searched,including CNKI,Wanfang,VIP,China Biomedical Literature Database,Cochrane Library,PubMed,Web of Science,CTNAHL,Embase,Scopus,Medline and EBSCO.The search time limit was from database establishment to September 26,2022.Collected relevant literature on the application of CALM therapy to cancer patients,extracted data included in the literature,summarize and report research results.Results A total of 2089 articles were retrieved,and 13 were eventually included through the inclusion criteria,including 8 randomized controlled studies,2 quasi experimental studies and 3 qualitative studies.The results showed that CALM therapy included 4 themes,3 to 8 separate psychotherapy sessions,each lasting for 3 to 6 months for 30 to 60 minutes.It was a short and flexible evidence-based personalized psychotherapy method that was easily accepted by patients,could alleviate the negative emotions of patients with advanced cancer,and promote their mental health.There was no literature reports on the occurrence of adverse events related to CALM therapy.Conclusions CALM therapy has a positive impact on cancer patients,with safety and feasibility.In the future,it is necessary to construct a specific,standard,and localized CALM therapy program,conduct large sample,high-quality research to verify the application effect of CALM therapy in cancer patients,and provide evidence-based basis for formulating the best CALM therapy program for cancer patients.
作者
邓雨欣
韦琦
蔡祥礽
高亚南
刘玉婷
黄家丽
Deng Yuxin;Wei Qi;Cai Xiangreng;Gao Yanan;Liu Yuting;Huang Jiali(School of Nursing,Anhui University of Chinese Medicine,Hefei 230012,China;Daytime Digestion,West District,the First Affiliated Hospital of University of Science and Technology of China,Hefei 230031 China;Emergency Surgery,Lu'an Hospital of Anhui Medical University,Hefei 237006,China;Nursing Department,West District,the First Affiliated Hospital of University of Science and Technology of China,Hefei 230031,China)
出处
《中国实用护理杂志》
2023年第34期2707-2713,共7页
Chinese Journal of Practical Nursing
基金
安徽省护理学会科研课题立项项目(AHHLa202104)。
关键词
癌症
癌症管理与生命意义疗法
综述
Cancer
Managing cancer and living meaningfully therapy
Review