补充替代疗法在癌症患者症状群应用的范围综述  

Complementary and alternative therapies for symptom clusters in cancer patients:a scoping review

作　　者：田霞 周丽群[2] 黄咏琪 王峥 肖文莉[1] Tian Xia;Zhou Liqun;Huang Yongqi;Wang Zheng;Xiao Wenli(School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou,510006,China.;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,510405,China)

机构地区：[1]广州中医药大学护理学院,广东广州510006 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《现代临床护理》2024年第2期18-27,共10页Modern Clinical Nursing

基　　金：2023年度广东省教育科学规划课题(高等教育专项),项目编号2023GXJK095;2023年度广东省普通高校特色创新类项目,项目编号2023WTSCX014;广州中医药大学2023年校级教学质量与教学改革工程项目,项目编号广中医校办〔2023〕276号。

摘　　要：目的识别癌症患者补充替代疗法特征及对症状群的干预效果,为患者症状群管理提供借鉴和参考。方法采用范围综述的方法,检索PubMed,Cochrane Library,Web of Science,Embase,PsycINFO,CINAHL,中国知网,万方和维普数据库,检索时限为2016年1月至2024年1月。结果纳入20项研究,从癌症研究对象、补充替代疗法干预特征、症状群类型、补充替代疗法效果评价4方面进行概括和总结。乳腺癌、晚期癌症和放化疗癌症患者是症状群管理中常见的研究对象;运动疗法、行为认知干预、中医特色疗法、多学科协作模式及特异性干预方案是症状群管理中常见的补充替代疗法;疲乏、心理、疼痛、消化道症状群是症状群管理中常见的干预类型。结论不同补充替代疗法类型,其干预效果及核心症状群尚存在差异,部分干预方案的效果有待进一步明确;现有补充替代疗法干预方案仍存在许多不足之处,未来研究应关注症状群的前哨和核心症状,基于症状管理理论构建规范化、个性化的症状群干预方案,从而更好地管理癌症患者的症状群。Objective To identify the characteristics of complementary and alternative therapies for cancer patients and investigate the effect on symptom clusters in cancer patients,in order to provide references in management of the symptom clusters.Methods A scoping review was conducted to search nine databases,namely PubMed,Cochrane Library,Web of Science,Embase,PsycINFO,CINAHL,CNKI,Wanfang Data,and VIP,for literatures published between January 2016 and January 2024.Results Twenty articles focusing on complementary and alternative therapies were included.Four themes were identified from the retrieved articles:cancer research subjects,characteristics of complementary alternative therapies,type of symptom cluster and effectiveness of complementary alternative therapies.Specifically,the cancer research subjects in relation to symptom cluster management included those of breast cancer,advanced cancer and the cancer under radio or chemotherapy.The most commonly used types of complementary and alternative therapies in managing the symptom clusters were exercise therapies,cognitive-behavioural interventions,traditional Chinese medicine therapies,multidisciplinary collaborative models and specific interventions.Interventions for symptom clusters predominantly targeted fatigue,mental status,pain,and gastrointestinal symptoms.Conclusion The interventions for symptom clusters in complementary and alternative therapies vary across different types of complementary and alternative therapies,so as the effectiveness.Some of the complementary and alternative therapies have unidentified effects and further investigations are required.The complementary and alternative therapies currently that have been used in managing the symptom clusters were found to have shortcomings.Further studies should focus on sentinel and core symptoms of symptom clusters and emphasize the development of standardised and individualised intervention plans based on symptom management theories,hence to improve the management of symptom clusters in cancer patients.

关 键 词：癌症 补充替代疗法 症状群 范围综述 

分 类 号：R473.73[医药卫生—护理学]