Tianjin Journal of Nursing ›› 2023, Vol. 31 ›› Issue (2): 155-160.DOI: 10.3969/j.issn.1006-9143.2023.02.007

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Qualitative researches on psychological experience of breast cancer survivors: meta -integration

LI Wanshan, YANG Huili, YE Zhaoxiang, WANG Yanjie   

  1. (Tianjin Medical University Cancer Institute and Hospital,Tianjin 300060)
  • Online:2023-04-28 Published:2023-04-28

乳腺癌生存者心理体验质性研究的 Meta 整合

李宛珊 杨惠莉 叶兆祥 王艳杰   

  1. (天津医科大学肿瘤医院 国家恶性肿瘤临床医学研究中心 天津市“肿瘤防治”重点实验室 天津市恶性肿瘤临床医学研究中心 乳腺癌防治教育部重点实验室,天津 300060)
  • 基金资助:
    天津市医学重点学科建设项目(TJYXZDXK-011A)

Abstract:

Objective: To systematically summarize the survival status and psychological experience of breast cancer survivors after treatment, and comprehensively understand the survival status and needs of breast cancer survivors, so as to provide basis for medical personnel to implement intervention. Methods: CNKI, VIP, Wanfang, Chinese Biomedical Literature, PubMed, Web of Science, Scopus, JBI, Embase, Cochrane Library and CINAHL were retrieved from inception to January 2021. The related qualitative research articles of psychological experience of breast cancer survivors were retrieved, and the quality of literatures was evaluated by the quality evaluation standard of qualitative research of JBI evidence-based health care center in Australia, and the method of aggregation integration was used. Results: A total of 10 studies were included, and 55 complete and clear results were extracted. The similar research results were classified into 10 new categories, and 3 integrated results were obtained. The first was psychological adjustment including negative emotional distress, looking for spiritual sustenance, accepting reality. The second was long-term impact including cancer-related fatigue continuing to plague, long-term complications occurring, cognitive function being abnormal. The third was various needs including the need to work to realize life value, the impact of sexual life, lacking of medical care and trusting interest support, and the need for social support. Conclusion: Medical staffs should pay more attention to breast cancer survivors, understand their physical, psychological and social needs, and give targeted interventions to improve the quality of life.

Key words: Breast cancer, Breast cancer survivors, Psychological care, Qualitative research, Meta-integration

摘要: 目的:系统总结乳腺癌生存者治疗后的生存状况和心理体验,全面了解乳腺癌生存者的生存状况及需求,为医务人员实施干预 提供依据。 方法: 计算机检索中国知网、 维普、 万方、 中国生物医学文献、PubMed、Web of Science、Scopus、JBI、Embase、Cochrane Library、CINAHL 数据库,检索时限为建库至 2021 年 1 月。 检索乳腺癌生存者心理体验的相关质性研究文章,采用澳大利亚 JBI 循证 卫生保健中心质性研究质量评价标准对文献质量进行评价,并采用汇集性整合方法进行整合。 结果:共纳入 10 项研究,提炼出 55 项 完整明确的研究结果。 将相似的研究成果归纳为 10 个新类别, 3 个整合结果。 ①心理调适,包括负面情绪困扰、寻找精神寄托、接 受现实。②远期影响,包括癌因性疲乏的持续困扰、出现远期并发症、认知功能异常。③存在各方面需求,包括工作实现人生价值的 需求、性生活的影响、缺乏医疗和信息支持、对社会支持的需求。 结论:医务人员应给予乳腺癌生存者更多的关注,了解其身体、心理 及社会等方面需求,针对性的给予干预,提高生活质量。

关键词: 乳腺肿瘤, 乳腺癌生存者, 心理护理, 质性研究, Meta 整合