癌症患者化疗期自我护理体验质性研究的系统评价

doi:10.16460/j.issn1008-9969.2020.07.001

摘要/Abstract

摘要： 目的系统评价和整合癌症患者化疗期自我护理体验。方法检索The Cochrane Library、PubMed、Embase、Scopus、Web of Science、PsycINFO、CINAHL、CBM、中国知网、维普和万方数据库等,搜集关于癌症患者化疗期自我护理体验的质性研究,检索时限从建库至2019年9月。采用澳大利亚JBI循证卫生保健中心的质性研究质量评价标准对文献进行质量评价,采用Meta整合方法对结果进行整合。结果共纳入16篇文献,提炼出62个结果,归类成7个类属,合成3个整合结果。整合结果1为维持自我护理：信息和社会支持的获取有助于增强患者自我护理信念,进而更好地维持自我护理、配合治疗;整合结果2为症状识别：患者应能准确感知对于化疗的不同症状、由此造成的心理负担以及给生活带来巨大影响;整合结果3为自我护理的经历：经过自我调整,患者逐渐适应化疗带来的各种不良反应,并在自我护理中逐步找到规律,不断成长。结论护士需多关注化疗给癌症患者带来的影响,在患者进行自我护理的过程中,给予足够的支持与指导,帮助其科学地认识化疗,调整状态以适应化疗,从而改善患者临床结局,提高其生活质量。

关键词: 癌症, 化疗, 自我护理, 质性研究, 系统评价, Meta整合

Abstract: Objective To conduct a systematic review on self-care experience of cancer patients undergoing chemotherapy. Methods We collected literatures on self-care experience of cancer patients undergoing chemotherapy in The Cochrane Library, PubMed, Embase, Scopus, Web of Science, PsycINFO, CINAHL, CBM, CNKI, VIP and Wanfang, from the inception to September 2019. Quality evaluation criteria for quality research in Australian JBI evidence-based health care centers was used to evaluate the qualities of studies. The results were integrated by using pooled integration method in Meta integration. Results Totally 62 findings, which classified into 7 categories were extracted from 16 qualified studies, and finally 3 integrated synthesized results were obtained as followed. 1. self-care maintenance: information and social support are helpful for patients to strengthen self-care beliefs to better maintain self-care behaviors and improve their treatment compliance; 2. symptom identification: patients should be able to accurately perceive different symptoms of chemotherapy, the related psychological burden, and its huge impact on life; 3: self-care experience: after self-adjustment, patients gradually adapted to various chemotherapy-related side effects, found the rules of self-care and kept growing. Conclusion Nurses should pay more attention to the impact of chemotherapy on cancer patients. In the process of self-care, sufficient support and guidance should be given to help patients scientifically understand chemotherapy and adapt to chemotherapy, so as to improve clinical outcome and improve the quality of life.

Key words: cancer, chemotherapy, self-care, qualitative research, systematic review, Meta-integration

中图分类号:

R473.73

刘丽萍, 吴艳妮, 从维莲, 胡明钰, 李晓霞, 周春兰. 癌症患者化疗期自我护理体验质性研究的系统评价[J]. 护理学报, 2020, 27(7): 1-6.

LIU Li-ping, WU Yan-ni, CONG Wei-lian, HU Ming-yu, LI Xiao-xia, ZHOU Chun-lan. Qualitative Studies on Self-care Experience of Cancer Patients undergoing Chemotherapy:A Systematic Review[J]. Journal of Nursing, 2020, 27(7): 1-6.

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