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Exploration of the factors that influence perceived quality of patient centered care among cancer survivors: A systematic review
European Journal of Oncology Nursing ( IF 2.8 ) Pub Date : 2024-01-09 , DOI: 10.1016/j.ejon.2024.102503
N. Volakakis , M. Pylli , V. Raftopoulos , I. Kyrkou , T. Xanthos , A. Deltsidou

Purpose

The purpose of this study was the estimation of the quality of patient centered care among cancer survivors.

Methods

Following the PRISMA guidelines, MEDLINE and Google Scholar were systematically searched using the keywords “quality of patient centered care” and “cancer” from 2012 to 2022.

Results

In this systematic review 7 articles were included, from which 5557 patients were derived, 3050 of them being females. The majority of them (2553 patients) suffered from haematological malignancies, while a considerable amount of them suffered from breast cancer. Three studies were conducted in Australia and four studies in Mexico. Factors, such as respect to patients' values and preferences, emotional support, management of psychological needs and integrated and coordinated care received a lower score. The characteristics that were statistically significantly related to the dimensions of person-centered care were numerous and were grouped into two major categories: a) socio-demographic such as gender, age, marital status, professional status, level of education, place of residence, type of insurance and b) clinical factors such as type of malignancy, psychiatric comorbidities, time interval of diagnosis, follow-up center, type of treatment.

Conclusions

The literature showed that there is a lack of comparative data regarding the perceived quality of patient centered care among cancer survivors. More psychometric tools of quality of patient centered care, or validation of the existed ones among all types of cancer survivors are needed, in order to identify and further improve the aspects of care that are not delivered successfully.



中文翻译:

探索影响癌症幸存者以患者为中心的护理感知质量的因素:系统评价

目的

本研究的目的是评估癌症幸存者以患者为中心的护理质量。

方法

根据 PRISMA 指南,从 2012 年到 2022 年,使用关键词“以患者为中心的护理质量”和“癌症”对 MEDLINE 和 Google Scholar 进行了系统搜索。

结果

本次系统评价纳入 7 篇文章,共纳入 5557 名患者,其中 3050 名女性。其中大多数(2553名患者)患有血液系统恶性肿瘤,而其中相当一部分患有乳腺癌。三项研究是在澳大利亚进行的,四项研究是在墨西哥进行的。尊重患者的价值观和偏好、情感支持、心理需求管理以及综合协调护理等因素得分较低。与以人为本的护理维度在统计上显着相关的特征有很多,可分为两大类:a) 社会人口统计,如性别、年龄、婚姻状况、职业状况、教育水平、居住地、保险类型和 b) 临床因素,例如恶性肿瘤类型、精神合并症、诊断时间间隔、随访中心、治疗类型。

结论

文献表明,缺乏关于癌症幸存者对以患者为中心的护理的感知质量的比较数据。需要更多以患者为中心的护理质量的心理测量工具,或验证所有类型癌症幸存者中现有的心理测量工具,以便识别并进一步改进未成功提供的护理方面。

更新日期:2024-01-13
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