대장암 생존자를 위한 자가관리 중재의 효과: 주제범위 문헌고찰
Effectiveness of Self-Management Interventions for Colorectal Cancer Survivors: A Scoping Review
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Purpose: This scoping review aimed to identify the effects of various self-management interventions on colorectal cancer survivors. Methods: A systematic literature search was performed using PubMed, CINAHL, EMBASE, Cochrane Library, and SCOPUS, following a methodological framework based on the foundational work of Arksey and O'Malley. Randomized controlled trials examining colorectal neoplasms, survivors, and self-care were included. Only published trials were eligible. Results: Sixteen studies met our inclusion criteria. As self-administered programs, eight studies provided only physical interventions, two provided emotional interventions, and six provided integrated interventions. Physical interventions resulted in significant increase in activity in some cases; however, improvements in fatigue reduction and quality of life were inconsistent. In some studies, emotional interventions conducted in group settings resulted in reductions in distress and partial improvements in quality of life. Integrated interventions involved personalized approaches and multidisciplinary teams, with cognitive-behavioral approaches, such as acceptance commitment therapy, proving effective. Conclusion: Interventions must be standardized and strengthened to increase consistency and support long-term health improvement. Intervention programs for colorectal cancer survivors should be diversified and expanded to provide more effective stress management strategies.
Abstract
Purpose: This scoping review aimed to identify the effects of various self-management interventions on colorectal cancer survivors. Methods: A systematic literature search was performed using PubMed, CINAHL, EMBASE, Cochrane Library, and SCOPUS, following a methodological framework based on the foundational work of Arksey and O'Malley. Randomized controlled trials examining colorectal neoplasms, survivors, and self-care were included. Only published trials were eligible. Results: Sixteen studies met our inclusion criteria. As self-administered programs, eight studies provided only physical interventions, two provided emotional interventions, and six provided integrated interventions. Physical interventions resulted in significant increase in activity in some cases; however, improvements in fatigue reduction and quality of life were inconsistent. In some studies, emotional interventions conducted in group settings resulted in reductions in distress and partial improvements in quality of life. Integrated interventions involved personalized approaches and multidisciplinary teams, with cognitive-behavioral approaches, such as acceptance commitment therapy, proving effective. Conclusion: Interventions must be standardized and strengthened to increase consistency and support long-term health improvement. Intervention programs for colorectal cancer survivors should be diversified and expanded to provide more effective stress management strategies.
참고문헌 (26)
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