Community-based intervention is an important part of palliative care for advanced cancer patients. However, its role in the health management of advanced cancer patients remains to be supported by medical evidence.

To evaluate the efficacy of community-involved hospice care for patients with advanced cancer.

Wanfang Data Knowledge Service Platform, CNKI, VIP were searched by using Chinese keywords such as "community" "medical model" and "advanced cancer", Cochrane Library, PubMed and Web of Science were searched by using English keywords such as "Community-based" "Model of Palliative Care" "Advanced Cancer" "Quality of Life", to obtain randomized controlled trials (RCTs) related to the efficacy of community-involved hospice care from 2007-01-01 to 2022-05-10 by using Cochrane system evaluation method on 2022-05-22. The quality of RCTs meeting the inclusion criteria was evaluated, and the valid information was extracted for meta-analysis.

A total of 11 RCTs in English and 9 RCTs in Chinese were included in the study, involving 2 356 and 1 238 patients, respectively. Meta-analysis showed that compared with routine cancer care, community-involved hospice care could improve quality of life and symptom severity in patients with advanced cancer, demonstrated by increasing Functional Assessment of Chronic Illness Therapy-Palliative Care scale socre〔MD (95%CI) =3.77 (0.83, 6.71) , P=0.01〕and Quality of Life Instruments for Cancer Patients scale total score〔MD (95%CI) =12.53 (2.36, 22.69) , P=0.02〕, reducing Functional Assessment of Cancer Therapy scale total score〔MD (95%CI) =-2.61 (-3.53, -1.70) , P<0.01〕 and Edmonton Symptom Assessment System score〔MD (95%CI) =-2.45 (-4.70, -0.20) , P=0.03〕. However, the improvement of community-involved hospice care on depressive symptoms and overall survival rates of patients remains controversial, and its effect on economic indicators such as admission rates, hospitalization days/numbers needs to be further explored.

Community-involved hospice care can improve the quality of life and symptom severity of patients with advanced cancer, however, its improvement in hospice care in the depressive symptoms and overall survival rates of the patients remains controversial, and its improvement in economic indicators such as admission rate and hospital stay/inpatients admissions remains to be further explored.

社区干预是临终期肿瘤患者安宁疗护的重要组成部分，其在临终期肿瘤患者健康管理中的作用尚有待循证医学证据的支持。

评价社区参与安宁疗护对临终期肿瘤患者的干预效果。

于2022-05-22，采用Cochrane系统评价方法，以"社区""医疗模式""临终期肿瘤"等为检索词检索万方数据知识服务平台、中国知网、维普网，以"Community-based""Model of Palliative Care""Advanced Cancer""Quality of Life"等为检索词检索Cochrane Library、PubMed、Web of Science，以获取和社区参与安宁疗护干预效果相关的文献，研究类型设定为随机对照试验（RCT），检索时限设定为2007-01-01至2022-05-10。对符合纳入标准的RCT进行质量评价，提取有效信息进行Meta分析。

共纳入11项英文RCT（涉及患者2 356例），9项中文RCT（涉及患者1 238例）。Meta分析结果显示：与常规肿瘤护理相比，社区参与的安宁疗护能够改善临终期肿瘤患者的生活质量和症状严重程度，其可提高患者的慢性病支持治疗功能评价量表得分〔MD（95%CI）=3.77（0.83，6.71），P=0.01〕、癌症患者生命质量测定量表总分〔MD（95%CI）=12.53（2.36，22.69），P=0.02〕，降低患者的癌症治疗功能评价量表总分〔MD（95%CI）=-2.61（-3.53，-1.70），P<0.01〕、埃德蒙顿量表得分〔MD（95%CI）=-2.45（-4.70，-0.20），P=0.03〕。但是否能改善患者的抑郁症状、总体生存率存在争议，而对于入院率、住院天数/次数等经济学指标的作用有待进一步研究。

社区参与的安宁疗护可以改善临终期肿瘤患者的生活质量和症状严重程度，但在改善抑郁、提高生存率、降低医疗成本方面的作用有待进一步研究。