乳腺癌患者运动体验质性研究的Meta整合

doi:10.16460/j.issn1008-9969.2021.13.034

摘要/Abstract

摘要： 目的系统评价和整合乳腺癌患者运动体验。方法计算机检索PubMed、The Cochrane Library、EMbase、Web of Science、CINAHL、Scopus、万方、中国知网、中国生物医学文献数据库,收集关于乳腺癌患者运动体验的质性研究,检索时限均为建库时间至2020年9月1日。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纳入研究进行质量评价,并采用汇集性整合方法整合结果。结果共纳入10项研究,提炼出了40个研究结果、7类别和3个整合结果。整合结果1为感知运动的益处,包括2个类别：获得力量与支持,促进健康与康复;整合结果2为感知运动的动力,包括2个类别：内部激励、外部支持;整合结果3为感知运动的挑战,包括3个类别：身体因素、心理因素、环境因素。结论乳腺癌患者高度评价运动所带来的益处及重要性,然而参与并坚持运动充满挑战。医务人员需充分了解乳腺癌患者运动体验,分析乳腺癌患者对运动的态度、认知及需求,以期为乳腺癌患者运动干预制定有效的运动干预策略。

关键词: 乳腺癌, 运动, 体验, 质性研究, Meta整合

Abstract: Objective To systematically review the exerciseexperience of patients with breast cancer. Methods We searched databases of PubMed, The Cochrane Library, EMbase, Web of Science, CINAHL, Scopus, WanFang, CNKI, and CBM from the inception to September 1,2020, to collect qualitative studies on exercise experience of breast cancerpatients. The JBI Critical Appraisal Tool for qualitative studies in Australia was used to evaluate the quality of studies. The results were synthesized by integrating methods. Results A total of 40 findings were extracted from10 qualified studies. The 40 findings were integrated into 7 new categories and finally 3 synthesized results were summarized: (1) perceived benefit of exercise:source of strength and support, and health promotion; (2) perceived motivation for exercises: internalincentive and external support; (3) perceived barriers for exercise: physical factors, psychological factors and environment factors. Conclusion Patients highlight the importance and benefits of exercise. However, maintaining physically active is sometimes challenging. Health care professionals need to understand the exercise experience of breast cancer patients and explore their attitude toward, cognition of and demand for exercise, so as to develop effective exercise intervention strategies for breast cancer patients.

Key words: breast cancer, exercise, experience, qualitative study, Meta-synthesis

中图分类号:

R473.73

邓杨清, 潘岑, 王庆兰, 王迪. 乳腺癌患者运动体验质性研究的Meta整合[J]. 护理学报, 2021, 28(13): 34-39.

DENG Yang-qing, PAN Cen, WANG Qing-lan, WANG Di. Qualitative Research on Exercise Experience of Patients with Breast Cancer: A Meta-synthesis[J]. Journal of Nursing, 2021, 28(13): 34-39.

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