a systematic review of the impact of stigma and nihilism on lung cancer outcomes系统回顾的耻辱和虚无主义对肺癌的影响结果.pdfVIP

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a systematic review of the impact of stigma and nihilism on lung cancer outcomes系统回顾的耻辱和虚无主义对肺癌的影响结果.pdf

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a systematic review of the impact of stigma and nihilism on lung cancer outcomes系统回顾的耻辱和虚无主义对肺癌的影响结果

Chambers et al. BMC Cancer 2012, 12:184 /1471-2407/12/184 RESEARCH ARTICLE Open Access A systematic review of the impact of stigma and nihilism on lung cancer outcomes 1,2* 1,2 1 3 2,1 4 Suzanne K Chambers , Jeffrey Dunn , Stefano Occhipinti , Suzanne Hughes , Peter Baade , Sue Sinclair , Joanne Aitken2,1, Pip Youl2,1 and Dianne L O’Connell3,5,6,7 Abstract Background: This study systematically reviewed the evidence on the influence of stigma and nihilism on lung cancer patterns of care; patients’ psychosocial and quality of life (QOL) outcomes; and how this may link to public health programs. Methods: Medline, EMBASE, ProQuest, CINAHL, PsycINFO databases were searched. Inclusion criteria were: included lung cancer patients and/or partners or caregivers and/or health professionals (either at least 80% of participants had lung cancer or were partners or caregivers of lung cancer patients, or there was a lung cancer specific sub-group focus or analysis), assessed stigma or nihilism with respect to lung cancer and published in English between 1st January 1999 and 31st January 2011. Trial quality and levels of evidence were assessed. Results: Eighteen articles describing 15 studies met inclusion criteria. The seven qualitative studies were high quality with regard to data collection, analysis and reporting; however most lacked a clear theoretical framework; did not address interviewer bias; or provide a rationale for sample size. The eight quantitative studies were generally of low quality with highly selected samples, non-comparable groups and low participation rates and employed divergent theoretical and measurement approaches. Stigma about lung cancer was reported by