Psychological experience of patients with breast cancer during rehabilitation:a Meta synthesis of qualitative studies
陈红 1蒋雪城 1肖法 1谢温欣 1罗园园 2李敏 2严绿婷 2杨智慧3
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作者信息
1. 南方医科大学护理学院,广州 510510
2. 南方医科大学南方医院肿瘤科,广州 510510
3. 南方医科大学护理学院,广州 510510;南方医科大学护理与助产循证中心,广州 510510
折叠
摘要
目的 系统整合乳腺癌患者康复期心理体验的质性研究,为临床工作中提高心理照护和改善康复效果提供依据.方法 计算机检索数据库,包括PubMed、Embase、Web of Science、Cochrane Library、中国知网、万方数据库、中国生物医学文献数据库,搜集关于乳腺癌患者康复期间心理体验的质性研究,检索时限均为建库至2023年9月.采用2020版澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准对文献进行质量评价,采用汇集性Meta整合方法进行结果整合.结果 共纳入18篇文献,提炼出66个研究主题,归纳为10个新类别,形成3个整合结果,分别为患者存在消极情绪和康复需求,在应对的过程中进行心理调适;家庭、社会因素影响患者康复体验;患者感知到医疗保健体系尚不完善.结论 医护人员要关注乳腺癌患者康复期心理问题,了解其康复需求,有针对性地提供咨询和服务,重视乳腺癌患者家庭、社会支持因素,帮助其提高生活质量,积极促进康复.
Abstract
Objective To systematically integrate qualitative studies on psychological experience of breast cancer patients in rehabilitation period,so as to provide basis for improving psychological care and rehabilitation efficacy.Methods Qualitative research on psychological experience of breast cancer patients during rehabilitation was electronically retrieved in databases,including PubMed,Embase,Web of Science,Cochrane Library,China National Knowledge Infrastructure,Wanfang data,and China Biology Medical disc.The search period was from database establishment to September 2023.The quality evaluation of the literature was conducted using the 2020 version of the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center.The results were integrated using the aggregative Meta integration method.Results A total of 18 articles were included.Sixty-six research topics were extracted and categorized into 10 new categories,forming three integrated results,namely,psychological adjustment of patients with negative emotions and rehabilitation needs in the process of coping,family and social factors affecting patient rehabilitation experience,and patients perceiving that the healthcare system was not yet perfect.Conclusions Medical and nursing staff should pay attention to the psychological problems of breast cancer patients in the rehabilitation period,understand their rehabilitation needs,provide targeted counseling and services,pay attention to the family and social support factors of breast cancer patients,help them improve their quality of life,and actively promote rehabilitation.
关键词
乳腺肿瘤/康复心理体验/康复需求/质性研究/Meta整合
Key words
Breast neoplasms/Rehabilitation psychological experience/Rehabilitation needs/Qualitative research/Meta synthesis
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