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癌症患者癌痛自我管理体验质性研究的Meta整合

Experience of cancer pain self-management in cancer patients:a Meta-synthesis of qualitative research

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目的 系统评价癌症患者癌痛自我管理体验的质性研究,为癌痛规范化管理提供参考依据.方法 检索PubMed、Web of Science、the Cochrane Library、MedLine、CINAHL、CBM、CNKI、万方、维普等数据库从建库至 2024 年 6 月收录的癌痛患者自我管理体验的质性研究文献.运用JBI循证卫生保健中心质性研究质量评价工具进行文献质量评价,使用汇集性Meta整合方法整合文献.结果 共纳入11 项研究,提炼出79 个研究结果,归纳形成11 个新类别,整合成4 个结果:癌痛对患者的影响、癌痛患者自我管理策略、癌痛患者自我管理的动力、癌痛患者自我管理的挑战.结论 医护人员应关注癌症患者癌痛自我管理体验,根据自我管理的影响因素进行针对性的能力培养和心理干预,降低癌痛管理障碍,提升患者的自我管理水平.
Objective To systematically review the qualitative research of cancer pain self-management experience of cancer patients,and provide reference for standardized management of cancer pain.Methods Qualitative research literature on self-manage-ment experience of cancer pain patients included in PubMed,Web of Science,the Cochrane Library,MedLine,CINAHL,CBM,CNKI,Wanfang,and VIP databases from establishment to June 2024 were searched.JBI Evidence-based Health Care Center qualitative re-search quality evaluation tool was used to evaluate the literature quality,and pooled meta-integration method was used to integrate the literature.Results A total of 11 studies were included,yielding 79 research outcomes that were distilled into 11 new categories and in-tegrated into 4 results:the impact of cancer pain on patients,self-management strategies for cancer pain patients,motivation for cancer pain patients'self-management,and challenges for cancer pain patients'self-management.Conclusion Medical staff should focus on the self-management experience of cancer patients,and carry out targeted ability training and psychological intervention according to the influencing factors of self-management,to reduce the obstacles of cancer pain management and improve the self-management level of patients.

Cancer painSelf-management experienceQualitative studyMeta-synthesis

李文慧、银萍、渠苹

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安徽中医药大学护理学院

安徽省第二人民医院护理部,安徽 合肥 230012

癌痛 自我管理体验 质性研究 meta整合

2025

牡丹江医学院学报
牡丹江医学院

牡丹江医学院学报

影响因子:0.615
ISSN:1001-7550
年,卷(期):2025.46(1)