关键词: 乳腺癌, 高发人群, 预防性乳房切除, 质性研究, Meta 整合

Abstract: t Objective: Systemically summarize decision making experience of prophylactic mastectomy in breast cancer patients and high -risk populations and fully understand their experience. Methods: The databases PubMed, Scopus, Embase, Web of science, CINAHL, psycINFO, CBM, CNKI, VIP and Wanfang were retrieved by the system from inception to October 2022, to collect the qualitative research articles about breast cancer patients and high -risk populations on the decision-making experience of prophylactic mastectomy. The final included literature was evaluated for quality and the results were integrated by integrating methods. Results: A total of 12 studies were included and 51 complete findings were grouped according to similarities to form 13 new categories. These categories resulted in 4 synthesized findings. Conclusion: Breast cancer patients and people with high risk of breast cancer have a variety of attitudes towards prophylactic mastectomy. They suffered from fear and anxiety, as well as lack of information and support, both before and after surgery. Medical staffs understand the factors influencing them with the aim of facilitating informed decision-making.

Key words: Breast cancer, People with high incidence, Prophylactic mastectomy, Qualitative research, Meta integration