{"title":"量身定制的干预措施对癌症幸存者生活质量的有效性：一项系统综述。","authors":"Ye Sol Lee , Gi Won Choi , Bohye Kim","doi":"10.1016/j.pec.2025.108674","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to identify effective components and assess the statistical, practical, and clinical significance of tailored interventions for enhancing cancer survivors’ quality of life.</div></div><div><h3>Methods</h3><div>Twenty-four clinical trials were selected based on search results from five databases. Study quality was assessed using the Cochrane Risk of Bias Tool 2.0, and data were synthesized through qualitative analysis.</div></div><div><h3>Results</h3><div>Most trials focused on post-treatment cancer survivors with a single type of cancer. Tailored interventions included physical activity, nutrition, psychosocial change, and symptom management, utilizing education, counseling, feedback, and monitoring. These interventions improved social and physical aspects of quality of life, as well as overall health status. Remote, iterative tailored interventions positively impacted the social aspects of quality of life for cancer survivors. Interventions incorporating theoretical determinants such as readiness to change and self-efficacy were notably effective in enhancing quality of life.</div></div><div><h3>Conclusions</h3><div>This review indicates that tailored interventions leveraging theoretical determinants to boost motivation and using remote, interactive modes can improve quality of life among cancer survivors. Additional rigorous studies with longer follow-ups are needed to confirm the long-term effects of these interventions.</div></div><div><h3>Practice implications</h3><div>The findings provide insights into essential intervention components and research approaches for planning tailored interventions to improve quality of life for cancer survivors. 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引用次数: 0
摘要
目的：本系统综述旨在确定有效成分，并评估定制干预措施对提高癌症幸存者生活质量的统计学、实用性和临床意义。方法：从5个数据库检索结果中选择24项临床试验。采用Cochrane Risk of Bias Tool 2.0评估研究质量，并通过定性分析对数据进行综合。结果：大多数试验集中在治疗后患有单一类型癌症的癌症幸存者身上。量身定制的干预措施包括身体活动、营养、心理社会改变和症状管理，利用教育、咨询、反馈和监测。这些干预措施改善了生活质量的社会和身体方面以及总体健康状况。远程、反复定制的干预措施对癌症幸存者生活质量的社会方面产生了积极影响。结合理论决定因素的干预措施，如准备改变和自我效能感，在提高生活质量方面显着有效。结论：本综述表明，利用理论决定因素来提高动机和使用远程互动模式的量身定制的干预措施可以改善癌症幸存者的生活质量。需要更多的严格研究和更长时间的随访来证实这些干预措施的长期效果。实践意义：研究结果为规划量身定制的干预措施以改善癌症幸存者的生活质量提供了必要的干预成分和研究方法。值得注意的是，本综述确定了癌症幸存者特有的一系列生活质量测量的最小临床重要差异。
Effectiveness of tailored interventions on quality of life in cancer survivors: A systematic review
Objectives
This systematic review aimed to identify effective components and assess the statistical, practical, and clinical significance of tailored interventions for enhancing cancer survivors’ quality of life.
Methods
Twenty-four clinical trials were selected based on search results from five databases. Study quality was assessed using the Cochrane Risk of Bias Tool 2.0, and data were synthesized through qualitative analysis.
Results
Most trials focused on post-treatment cancer survivors with a single type of cancer. Tailored interventions included physical activity, nutrition, psychosocial change, and symptom management, utilizing education, counseling, feedback, and monitoring. These interventions improved social and physical aspects of quality of life, as well as overall health status. Remote, iterative tailored interventions positively impacted the social aspects of quality of life for cancer survivors. Interventions incorporating theoretical determinants such as readiness to change and self-efficacy were notably effective in enhancing quality of life.
Conclusions
This review indicates that tailored interventions leveraging theoretical determinants to boost motivation and using remote, interactive modes can improve quality of life among cancer survivors. Additional rigorous studies with longer follow-ups are needed to confirm the long-term effects of these interventions.
Practice implications
The findings provide insights into essential intervention components and research approaches for planning tailored interventions to improve quality of life for cancer survivors. Notably, this review identified minimal clinically important differences for a range of quality of life measures specific to cancer survivors.
期刊介绍：
Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.
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