Review literature

综述文献
  • 文章类型: Journal Article
    病例报告的出版格局发生了重大转变,许多高影响力的期刊取消优先次序或完全停止出版。这一趋势导致了基于案例的审查的出现,作为传统案例报告的替代方案。有几个因素推动了这一转变。与单例病例报告相比,基于病例的综述提供了更全面的文献综合。他们采用系统的搜索方法,降低排除相关数据的风险,并提供有力的证据。从出版商的角度来看,基于案例的评论有更大的引用潜力。虽然存在撰写传统病例报告的建议,例如CASE报告(CARE)指南,对于撰写基于案例的评论,缺乏已发布的建议。本次审查旨在通过为起草高质量的基于案例的审查提供指导来弥补这一差距。
    The publication landscape for case reports has undergone a significant shift, with many high-impact journals deprioritizing or ceasing their publication altogether. This trend has led to the emergence of case-based reviews as an alternative to traditional case reports. Several factors drive this shift. Case-based reviews offer a more comprehensive synthesis of the literature compared to single case reports. They employ systematic search methodologies, reducing the risk of excluding relevant data, and providing robust evidence. From a publisher\'s perspective, case-based reviews have a greater potential for citation. While recommendations exist for writing traditional case reports, such as the CAse REports (CARE) guidelines, there is a lack of published recommendations for composing case-based reviews. This review aims to address this gap by providing guidance on drafting high-quality case-based reviews.
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  • 文章类型: Journal Article
    假体关节感染(PJI)是全膝关节置换术(TKA)后的破坏性并发症;金标准手术方法包括两个阶段,修订TKA(TSR)。由于较新的,关于这个问题的新证据,已经逐步转向单阶段修订方法(SSR),有了减轻患者发病率的所谓好处,减少并发症,降低成本。然而,关于两种方法在慢性PJI中的安全性和结果的证据仍然存在大量空白。本研究旨在全面回顾有关SSR的文献;并评估其在PJI后修订TKA中的作用。
    叙述性审查涉及对数据库的全面搜索(Embase,MedlineandPubmed),于2024年1月20日使用特定关键词进行。所有讨论在TKA后使用SSR管理PJI的手稿都被考虑用于审查。在筛选的手稿中,意见文章,给编辑的信件和非英文手稿被排除在外。
    文献检索共232项研究。在对这些手稿进行了详细的审查之后,最终入选26篇。据报道,SSR后的总体成功率为73%至100%(与TSR相当)。在经细菌学证实的感染的PJI患者中进行SSR,足够的软组织覆盖,免疫能力强的宿主和对抗生素的优异耐受性。SSR和TSR之间的主要区别在于2个阶段之间的间隔仅为几分钟而不是6周。适当的局部,术中抗生素治疗,为了确定良好的结局,需要充分的术后全身抗生素覆盖.SSR优于TSR的一些主要好处包括降低发病率,减少并发症(如关节纤维化或麻醉相关不良事件),改善四肢功能,早些时候恢复活动,减轻机械(假体相关)并发症和提高患者满意度。
    SSR是治疗慢性PJI的可靠方法。根据我们对文献的全面回顾,可以得出结论,正确选择患者,广泛清创术,复杂的重建战略,病原生物的鉴定,开始适当的抗生素治疗和确保充分的随访是成功结局的关键决定因素.要实现这一目标,无疑需要在个案基础上采取MDT方法。
    UNASSIGNED: Prosthetic joint infection (PJI) is a devastating complication following total knee arthroplasty (TKA); and the gold standard surgical approach involves a two-staged, revision TKA (TSR). Owing to the newer, emerging evidence on this subject, there has been gradual shift towards a single-stage revision approach (SSR), with the purported benefits of mitigated patient morbidity, decreased complications and reduced costs. However, there is still substantial lacuna in the evidence regarding the safety and outcome of the two approaches in chronic PJI. This study aimed to comprehensively review of the literature on SSR; and evaluate its role within Revision TKA post PJI.
    UNASSIGNED: The narrative review involved a comprehensive search of the databases (Embase, Medline and Pubmed), conducted on 20th of January 2024 using specific key words. All the manuscripts discussing the use of SSR for the management of PJI after TKA were considered for the review. Among the screened manuscripts, opinion articles, letters to the editor and non-English manuscripts were excluded.
    UNASSIGNED: The literature search yielded a total 232 studies. Following a detailed scrutiny of these manuscripts, 26 articles were finally selected. The overall success rate following SSR is reported to range from 73 % to 100 % (and is comparable to TSR). SSR is performed in PJI patients with bacteriologically-proven infection, adequate soft tissue cover, immuno-competent host and excellent tolerance to antibiotics. The main difference between SSR and TSR is that the interval between the 2 stages is only a few minutes instead of 6 weeks. Appropriate topical, intraoperative antibiotic therapy, followed by adequate postoperative systemic antibiotic cover are necessary to ascertain good outcome. Some of the major benefits of SSR over TSR include reduced morbidity, decreased complications (such as arthrofibrosis or anesthesia-associated adverse events), meliorated extremity function, earlier return to activities, mitigated mechanical (prosthesis-associated) complications and enhanced patient satisfaction.
    UNASSIGNED: SSR is a reliable approach for the management of chronic PJI. Based on our comprehensive review of the literature, it may be concluded that the right selection of patients, extensive debridement, sophisticated reconstruction strategy, identification of the pathogenic organism, initiation of appropriate antibiotic therapy and ensuring adequate follow-up are the key determinants of successful outcome. To achieve this will undoubtedly require an MDT approach to be taken on a case-by-case basis.
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  • 文章类型: Journal Article
    OBJECTIVE: Young people\'s exposure to online pornographic material has increased in the past years. Its impact is a complex topic but an important issue due to growing concerns. Therefore, we reviewed the literature on Internet pornography consumption and its impact on children and adolescents. Furthermore, we examined young people\'s thoughts about pornography and their reasons for consumption.
    METHODS: We performed a systematic literature search in the online databases ERIC, PsycARTICLES, PsycINFO, and PSYNDEX for peer-reviewed articles in English, published between 2000 and 2022 and additionally identified secondary references.
    RESULTS: We could determine associations between pornography consumption and demographic variables (e.g., age, gender), personal characteristics (e.g., [sexual] sensation seeking, sexual interest and experience, general risk behavior), environmental variables (e.g., peers, family), attitudes (e.g., gender role attitudes, permissive sexual attitudes), behavior (e.g. sexual risk behaviour, sexting) and sexual aggression (e.g., sexual cybervictimization, grooming). Moreover, we found that girls have a more negative attitude towards pornography than boys who have an ambivalent opinion on the subject. Most adolescents are aware that the majority of pornographic material is exaggerated and unrealistic. Furthermore, pornography is not only watched out of curiosity and for sexual arousal but also used as a source of sexual information, especially by minority groups.
    CONCLUSIONS: Many effects that impair children\'s development have been documented. The results found in this review are often contradictory. Therefore, further replication studies are needed. In addition, we propose several preventive measures, e.g., sexual health education at schools for both heterosexuals and LGBT (Lesbian, Gay, Bisexual, and Transgender) people.
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  • 文章类型: Journal Article
    我们进行了系统的文献综述,以确定和总结来自报告的临床疗效和安全性结果的研究的数据氟尿苷/替吡嘧啶(FTD/TPI)联合其他抗肿瘤药物在晚期癌症中的应用。包括转移性结直肠癌(mCRC)。我们于2021年5月29日进行了一项系统搜索,研究报告了含FTD/TPI组合的一种或多种疗效或安全性结果。我们的搜索产生了1378种出版物,38条记录符合选择标准:mCRC中包含FTD/TPI组合的35项研究(二线或以后的31项研究)和其他肿瘤类型的3项研究。FTD/TPI加贝伐单抗进行了广泛的研究,包括化学难治性mCRC的19项研究。FTD/TPI联合贝伐单抗治疗难治性mCRC的中位总生存期为8.6-14.4个月,中位无进展生存期为3.7-6.8个月。基于一项随机和几项回顾性研究,与FTD/TPI单药治疗相比,FTD/TPI加贝伐单抗与改善预后相关。在小型早期研究中报道了FTD/TPI与化疗或其他靶向药物的组合;初步数据表明某些组合具有更高的抗肿瘤活性。总的来说,FTD/TPI组合不存在安全性问题;最常见的≥3级不良事件是中性粒细胞减少,所有研究的范围为5%-100%。在比较FTD/TPI组合与单一疗法的研究中,≥3级中性粒细胞减少症更常见的组合(29%-67%)与单药治疗(5%-41%)。FTD/TPI加贝伐单抗的不良事件导致的停药率范围为0%-11%,其他组合为0%-17%。本系统评价支持FTD/TPI联合贝伐单抗治疗难治性mCRC的可行性和安全性。关于非贝伐单抗FTD/TPI组合的数据仍然是初步的,需要进一步验证。
    We performed a systematic literature review to identify and summarize data from studies reporting clinical efficacy and safety outcomes for trifluridine/tipiracil (FTD/TPI) combined with other antineoplastic agents in advanced cancers, including metastatic colorectal cancer (mCRC). We conducted a systematic search on May 29, 2021, for studies reporting one or more efficacy or safety outcome with FTD/TPI-containing combinations. Our search yielded 1378 publications, with 38 records meeting selection criteria: 35 studies of FTD/TPI-containing combinations in mCRC (31 studies second line or later) and 3 studies in other tumor types. FTD/TPI plus bevacizumab was extensively studied, including 19 studies in chemorefractory mCRC. Median overall survival ranged 8.6-14.4 months and median progression-free survival 3.7-6.8 months with FTD/TPI plus bevacizumab in refractory mCRC. Based on one randomized and several retrospective studies, FTD/TPI plus bevacizumab was associated with improved outcomes compared with FTD/TPI monotherapy. FTD/TPI combinations with chemotherapy or other targeted agents were reported in small early-phase studies; preliminary data indicated higher antitumor activity for certain combinations. Overall, no safety concerns existed with FTD/TPI combinations; most common grade ≥ 3 adverse event was neutropenia, ranging 5%-100% across all studies. In studies comparing FTD/TPI combinations with monotherapy, grade ≥ 3 neutropenia appeared more frequently with combinations (29%-67%) vs. monotherapy (5%-41%). Discontinuation rates due to adverse events ranged 0%-11% for FTD/TPI plus bevacizumab and 0%-17% with other combinations. This systematic review supports feasibility and safety of FTD/TPI plus bevacizumab in refractory mCRC. Data on non-bevacizumab FTD/TPI combinations remain preliminary and need further validation.
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  • 文章类型: Journal Article
    目的:医学教育研究质量工具(MERSQI)经常用于评估医学教育的方法学质量,但不适用于牙科教育。本研究旨在使用发表在《牙科教育杂志》(JDE)和《欧洲牙科教育杂志》(EJDE)上的MERSQI评分来评估方法学质量。
    方法:对2012年,2017年和2022年JDE和EJDE发表的手稿质量进行了横断面评估。MERSQI数据,作者数量,第一和相应的作者学位,地理起源,并且还提取了每项纳入研究的资金信息.进行了描述性和分析性统计,显著性水平设置为α<0.05。
    结果:四百九十五篇文章符合纳入标准。最常见的研究设计是单组横断面或单组后测,并在一个机构中进行所有研究年份。在所有期刊和年份中,研究主要由参与者进行评估。研究结果主要是满意度,态度,感知,意见,和一般事实。每个期刊和年份的MERSQI总平均得分各不相同。年份和地理来源显着影响MERSQI总分。来自亚洲的论文得分最高,其次是南美,欧洲,北美,大洋洲,和非洲。
    结论:MERSQI评分适用于评估牙科教育研究的方法学质量。两种期刊的大多数领域的MERSQI得分相似。MERSQI评分受出版年份和地理来源的影响。
    OBJECTIVE: The Medical Education Research Study Quality Instrument (MERSQI) has been used frequently to assess the methodological quality of medical education but not for dental education. The present study aimed to assess the methodological quality using MERSQI scores of articles published in the Journal of Dental Education (JDE) and the European Journal of Dental Education (EJDE).
    METHODS: A cross-sectional assessment of the quality of manuscripts published in 2012, 2017, and 2022 JDE and EJDE was conducted. MERSQI data, numbers of authors, first and corresponding author degrees, geographic origins, and funding information were also extracted for each included study. Descriptive and analytical statistics were conducted, and significance level was set at α < 0.05.
    RESULTS: Four hundred ninety-five articles met the inclusion criteria. The most common study design was a single-group cross-sectional or single-group posttest and conducted in one institution for all studied years. In all journals and years, studies were assessed mainly by participants. The study outcome was mostly satisfaction, attitudes, perceptions, opinions, and general facts. The total mean MERSQI score for each journal and year varied. Year and geographic origin significantly affected the total MERSQI score. Papers originating from Asia had the highest score, followed by South America, Europe, North America, Oceania, and Africa.
    CONCLUSIONS: MERSQI score is applicable to the assessment of the methodological quality of dental educational research. The MERSQI score for most of the domains was similar for both journals. The MERSQI score was affected by publication years and geographic origins.
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  • 文章类型: English Abstract
    盘状半月板是一种常见的先天性半月板畸形,主要在亚洲人中普遍存在,通常发生在盘状半月板外侧。无症状盘状半月板患者通常采用观察、避免损伤等保守方法治疗,而有症状和流泪的患者需要手术治疗。关节镜下开式联合半月板部分切除术和半月板修复是最常见的手术方法。,早期到中期报告都很好。影响预后的因素是患者的手术年龄、随访时间和手术类型。一些患者会出现并发症,如术后膝关节疼痛延长,早期骨关节炎,再撕裂和剥离骨软骨炎。术后膝关节长期疼痛的发生率较高,剥脱性骨软骨炎的发生率最低。外侧半月板的保留是再次手术的主要原因。
    The discoid meniscus is a common congenital meniscal malformation that is prevalent mainly in Asians and often occurs in the lateral discoid meniscus. Patients with asymptomatic discoid meniscus are usually treated by conservative methods such as observation and injury avoidance, while patients with symptoms and tears need to be treated surgically. Arthroscopic saucerization combined with partial meniscectomy and meniscus repair is the most common surgical approach., and early to mid-term reports are good. The prognostic factors are the patient\'s age at surgery、follow-up time and type of surgery. Some patients experience complications such as prolonged postoperative knee pain, early osteoarthritis, retears and Osteochondritis dissecans. The incidence of prolonged postoperative knee pain was higher and the incidence of Osteochondritis dissecans was the lowest. Retears of the lateral meniscus is the main reason for reoperation.
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  • 文章类型: Review
    目的:这篇文献综述强调了肌皮神经(MCN)通过喙臂肌(CB)的典型过程的患病率,并评估从MCN的入口点到CB的距离,以喙突(CP)为里程碑。
    方法:PubMed(MEDLINE),Scopus,在2022年12月搜索和CINAHL在线数据库,查找报告MCN典型病程患病率和CP与CB的MCN入口点之间距离的研究.
    结果:共纳入28项研究(包括2846名受试者),调查MCN的典型课程,并引起93.4%的患病率。CP到MCN主干进入CB的入口点的平均距离为5.6±2cm(中位数为6.1cm,550个科目)。在76.12%的病例中,MCN的附属分支进入MCN主干附近的CB。从CP到MCN的近端分支到CB的入口点的平均距离为3.8±1.2cm(中位数为3.7cm,在140个科目中)。
    结论:在绝大多数情况下,MCN通过CB有一个典型的课程。在解剖结构改变的情况下,MCN不存在或向内传递至CB(未刺穿)。MCN从CP进入CB的平均入口点为5.6cm。MCN到CB的近端运动分支很常见,通常与CP尖端的下边界的平均距离为3.8cm。外科医生应了解MCN的典型和非典型过程以及这些距离,以避免在该地区手术时可能出现的并发症。
    OBJECTIVE: This literature review highlights the prevalence of the typical course of the musculocutaneous nerve (MCN) through the coracobrachialis muscle (CB), and evaluates the distance from the entrance point of the MCN to the CB, taking the coracoid process (CP) as a landmark.
    METHODS: PubMed (MEDLINE), Scopus, and CINAHL online databases were searched in December 2022 for studies reporting the prevalence of the MCN\'s typical course and the distance between the CP and the MCN entrance point to the CB.
    RESULTS: Twenty-eight studies were included (including 2846 subjects) investigating the MCN\'s typical course, and eliciting a prevalence of 93.4%. The mean distance of the CP to the entrance point of the MCN\'s main trunk into the CB was 5.6±2cm (median 6.1cm, in 550 subjects). In 76.12% of cases the MCN\'s accessory branches entered the CB proximally to the MCN\'s main trunk. The mean distance from the CP to the entrance point of the MCN\'s proximal branches to the CB was 3.8±1.2cm (median 3.7cm, in 140 subjects).
    CONCLUSIONS: In the vast majority of cases, the MCN had a typical course through the CB. In cases of altered anatomy, the MCN was either absent or passed medially to the CB (without piercing it). The average entrance point of the MCN into the CB from the CP is 5.6 cm. Proximal motor branches of the MCN to the CB are common and usually arise at a mean distance of 3.8cm from the inferior border of the tip of the CP. Surgeons should be aware of both the MCN\'s typical and its atypical course and these distances to avoid possible complications when operating in the area.
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  • 文章类型: Journal Article
    希望是护理文献中的一个中心概念,这对护理知识的发展至关重要。护理团队在探索希望的含义和促进患者及其家庭的希望方面起着至关重要的作用。本研究旨在综合护理背景下的希望概念分析研究,并提出国际护理实践分类(ICNP®)中希望定义的循证更新。方法:这是一个文献综述,涉及护理实践中希望概念分析的综合研究。考虑了具有完全可访问的葡萄牙语或英语文本的同行评审文章。当我们的目标是包括这个概念的历史视角时,没有限制发布时间。文章于2022年3月选择,并于2023年7月使用Medline进行更新,CINAHL,和Scopus数据库。使用的搜索词是\"希望\"和\"概念\"和\"分析\"和\"nurs*\"。只包括用英语或葡萄牙语写的文章。两名评审员独立进行了研究综合和报告,以最大程度地减少纳入研究中的偏倚风险。本文遵循PRISMA核对表。阐明患者所感知的希望的概念,并将希望发展为基于证据的护理概念,回顾了13项研究。希望的概念,它的属性,前身,和后果,以及类似的概念,由护士研究并合成一个定义。确定的前兆包括关键的生活事件,压力刺激,体验生活的满足感。对其属性的分析,前身,和后果有助于理解其在护理中的相关性,并在ICNP®中提供了希望的拟议更新。这篇综述从概念上阐明了如何在护理实践中定义和使用希望,以及可能影响促进希望的潜在因素,为未来的护理研究提供了机会。
    Hope is a central concept within the nursing literature, which is crucial towards the development of nursing knowledge. Nursing teams play a crucial role in exploring the meaning of hope and promoting hope among patients and their families. This study aims to synthesize concept analysis studies of hope in the context of nursing care and to propose an evidence-based update of the definition of hope in the International Classification for Nursing Practice (ICNP®). Method: This is a literature review, involving the synthesis of studies concerning the concept analysis of hope in nursing practice. Peer-reviewed articles with fully accessible Portuguese or English text were considered. As we aimed to include a historical perspective of the concept, no restriction upon the time of publication was set. Articles were selected in March 2022 and updated in July 2023 using the Medline, CINAHL, and Scopus databases. The search terms used were \"hope\" AND \"concept\" AND \"analysis\" AND \"nurs*\". Only articles written in English or Portuguese were included. Two reviewers conducted the research synthesis and report independently to minimize the risk of bias in the included studies. This paper adheres to the PRISMA checklist. To clarify the concept of hope as perceived by patients and develop hope as an evidence-based nursing concept, 13 studies were reviewed. The concept of hope, its attributes, antecedents, and consequences, as well as similar concepts, were studied by nurses and synthesized into a definition. The identified antecedents include pivotal life events, stressful stimuli, and experiencing satisfaction with life. The analysis of its attributes, antecedents, and consequences has contributed to understanding its relevance in nursing care and provided a proposed update of hope in the ICNP®. This review provides conceptual clarity on how hope is defined and used in nursing practice and the potential factors that may impact the promotion of hope to provide opportunities for future nursing research.
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  • 文章类型: Journal Article
    背景:全球化和人口迁移导致了文化日益多样化的社会,这使得文化能力和跨文化护理方面的护理教育成为优先事项。这包括提供以人为本和文化上一致的护理的能力,即使在自己的文化中。然而,这种培训在实践中由英语国家发展和实施得比较多。因此,这项研究的目的是确定现有的护士教育计划和未来的文化能力和跨文化护理在西班牙,并探讨他们的教学和学习形式方面的教学特征,内容,技能,以及不同学术水平的评价方法。
    方法:通过遵循PRISMA的具体建议和JoannaBriggs研究所在整个PudMed中的指导进行了范围审查,WebofScience,Embase,谷歌学者,和Cinahl数据库以及官方文件形式的灰色文献,后来得到了差距分析的补充,包括西班牙和拉丁美洲教育机构发布的培训计划以及主要学术线人的方法。
    结果:已发表的关于西班牙语高等教育护士文化能力或相关主题的护理培训的证据有限。西班牙语大学的特定护理课程主要在西班牙,在拉丁美洲可用的选项较少。这些内容作为选修科目或沉浸在其他课程中,主要在理论课程中教授。现实环境中的实践应该根据国家教育建议在文化范围内进行横向评估,尽管在学生的评估报告中几乎看不到。即使存在致力于这些问题的研究生培训,它仍然是有限的,与其他内容混合,通常取决于一些来自特定大学的研究人员对该主题进行调查和发表。
    结论:必须制定一项共同的全球战略,包括西班牙语国家的护士高等教育和专业培训,重点是文化能力,以及提供护士对自己文化的社会和文化敏感性,并确定目前存在的这些战略是否有效。同样至关重要的是,在实践中对这种培训进行评估,以便对学生产生足够的影响,卫生组织,和人口健康。
    BACKGROUND: Globalization and population migration have led to increasingly culturally diverse societies, which has made nursing education in cultural competence and transcultural care a priority. This includes the ability to provide person-centered and culturally congruent care, even within one\'s own culture. However, this sort of training has been developed and implemented in practice comparatively more by English-speaking societies. Therefore, the aim of this study was to identify the existing educational initiatives for nurses and future ones in cultural competence and transcultural care in Spanish and explore their didactic characteristics in terms of teaching and learning formats, contents, skills, and evaluation methods at different academic levels.
    METHODS: A scoping review was carried out by following the specific PRISMA recommendations and those of the Joanna Briggs Institute guidance throughout PudMed, Web of Science, Embase, Google Scholar, and Cinahl databases and also gray literature in the form of official documentation that later was complemented with a gap analysis including training programs published by Spanish and Latin-American educational institutions and the approaches of key academic informants.
    RESULTS: The published evidence on nursing training in cultural competence or related topics in Spanish-speaking higher education for nurses is limited. Specific nursing programs in Spanish-speaking universities are primarily found in Spain, with fewer options available in Latin America. These contents are offered either as optional subjects or immersed in other courses and mainly taught in theoretical sessions. Practice in real contexts is supposed to be evaluated transversally under the cultural scope according to national educational recommendations though barely visible in students\' evaluation reports. Even though postgraduate training dedicated to these issues exists, it is still limited, mixed with other contents, and generally depends on a few researchers investigating and publishing on the topic from very specific universities.
    CONCLUSIONS: It is essential to establish a common global strategy including Spanish-speaking countries in nurses\' higher education and professional training on topics focused on cultural competence as well as the provision of nurses\' social and cultural sensitivity towards their own culture and to define whether those that currently exist are effective. It is also crucial that this training was evaluated in practice in order to achieve enough impact on students, health organizations, and population health.
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  • 文章类型: Journal Article
    目的:本研究的目的是回顾有关乳腺癌幸存者及其伴侣干预的文献。
    方法:使用MEDLINE进行文献检索,Pubmed,和Proquest总结有关乳腺癌幸存者及其伴侣干预的知识现状。包括2000年1月至2011年12月发表的文章。
    结果:共确定了14项研究。夫妇基础d干预比单独干预幸存者更有效。对伴侣的干预也对他们的妻子产生了影响。大多数研究是在美国进行的白人女性。干预研究的样本量很小,大多数是试点研究。
    结论:为乳腺癌幸存者提供基于夫妇的干预措施可能会对身体产生积极影响,人际关系,和社会方面的乳腺癌幸存者。未来需要大样本和不同种族的研究来确认基于夫妻的干预措施对乳腺癌幸存者的影响。
    OBJECTIVE: The purpose of this study was to review the literature on intervention for breast cancer survivors and their partners.
    METHODS: The literature search was performed using MEDLINE, Pubmed, and Proquest to summarize the current state of knowledge regarding intervention for breast cancer survivors and their partners. Articles published between January 2000 and December 2011 were included.
    RESULTS: A total of 14 studies were identified. Couple-base d intervention was more effective than intervention for survivors alone. Intervention to partners had also effects on their wives. Most studies were conducted in USA with Caucasian women. Sample size of intervention studies was small with most being pilot studies.
    CONCLUSIONS: Providing couple-based intervention to breast cancer survivors could have positive impacts on physical, interpersonal, and social aspects in breast cancer survivors. Future studies with large sample and different ethnicity are needed to confirm the effects of couple-based interventions for breast cancer survivors.
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