Abstract

Purpose

The aim of the literature review was to identify and synthesise research on self-care advice for oesophageal cancer survivors.

Methods

A mixed-methods systematic review and synthesis of existing literature on the topic. Five databases were searched for studies providing information on self-care advice for survivorship after oesophageal cancer surgery, in English, with no time filter. The Critical Appraisal Skills Program was used to assess the risk of bias. Data were presented by textual descriptions and grouping of data.

Results

Among the 13 studies included in the review, five pieces of self-care advice were identified; reconstructing eating habits, bed-head elevation, health-promoting advice, monitoring symptoms and body functions, and involving family and friends. The self-care advice was experienced to be hard work, but worth the effort. They also provided reassurance and an increased understanding of bodily changes and social consequences of the disease and treatment.

Conclusions

There are is little evidence-based self-care advice for oesophageal cancer survivors. However, the existing self-care advice was appreciated and contributed to an increased understanding of the situation. Comprehensible and easy-to-follow recommendations should be provided to all oesophageal cancer survivors.

Implications for Cancer Survivors

Evidence-based self-care advice helpful for the individual oesophageal cancer survivor may be imperative to cope with the consequences of oesophagectomy after hospital discharge.

中文翻译：

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食管癌术后患者的自我护理建议——混合方法系统评价

摘要

目的

文献综述的目的是确定和综合有关食管癌幸存者自我护理建议的研究。

方法

对有关该主题的现有文献进行混合方法的系统回顾和综合。搜索了五个数据库，以查找提供有关食道癌手术后生存自我护理建议信息的研究，用英语提供，没有时间过滤器。批判性评估技能计划用于评估偏见风险。数据通过文本描述和数据分组来呈现。

结果

在纳入审查的 13 项研究中，确定了 5 条自我保健建议；重建饮食习惯、抬高床头、提供健康促进建议、监测症状和身体功能，并让家人和朋友参与。自我保健建议是一项艰苦的工作，但值得付出努力。他们还让人们放心，并加深了对疾病和治疗的身体变化和社会后果的了解。

结论

对于食道癌幸存者来说，几乎没有基于证据的自我护理建议。然而，现有的自我护理建议受到赞赏，并有助于加深对情况的了解。应向所有食道癌幸存者提供易于理解和易于遵循的建议。

对癌症幸存者的影响

对食管癌幸存者个体有帮助的循证自我护理建议可能对于应对出院后食管切除术的后果至关重要。