妇科癌症患者社会疏离影响因素的质性研究Meta整合

doi:10.16460/j.issn1008-9969.2022.20.039

摘要/Abstract

摘要： 目的整合和系统评价妇科癌症患者疏离感形成原因及其影响因素,为规避妇科癌症患者社会疏离,促进患者健康的社会适应提供参考。方法计算机检索PubMed、Web of Science、The Cochrane Library、Embase、CINAHL、Scopus、CBM、知网、万方、维普数据库中妇科癌症患者社会疏离体验的质性研究,检索时限从建库至2022年1月20日。结果共纳入文献9篇,提炼31个主要结果,归纳成9个新类别,综合成3个整合结果。（1）自我因素,包括疾病相关诊断及治疗、情感和心理困境、保护自我与他人需求3个类别;（2）环境因素,包括地理环境受限、经济环境窘迫、刻板文化环境3个类别;（3）人际支持因素,包括亲友关系不佳、医护支持不足、病友互助受限3个类别。结论多方面因素造成妇科癌症患者社会疏离这一社会适应不良的现象,临床医护人员应结合当前现状,针对可控因素进行及时的干预,促进妇科癌症患者生存期的积极社会融入。

关键词: 妇科癌症, 社会疏离, 质性研究, 系统评价

Abstract: Objective To integrate and systematically evaluate the causes and influencing factors of alienation in patients with gynecological cancer, and to provide reference for avoiding social alienation in patients with gynecological cancer and promoting their social adaptation. Methods We searched qualitative study on social alienation experience of gynecological cancer patients in PubMed, Web of Science, The Cochrane Library, Embase, CINAHL, Scopus, CNIT, Wanfang, VIP and CBM databases from the inception to January 20, 2021. Results Nine pieces of literature were included and 31 main results were extracted, which were summarized into 9 new categories and 3 integrated results were obtained: self-factors, including disease-related diagnosis and treatment, emotional and psychological distress, self-protection and the need to protect others; environmental factors including geographical constraints, economic constraints and stereotypes; and interpersonal support factors, including poor relations with relatives and friends, insufficient medical support and limited mutual assistance of patients. Conclusion Many factors contribute to social alienation of patients with gynecological cancer. While taking the current situation into consideration, timely intervention for controllable factors will promote positive social integration of patients with gynecological cancer during their survival.

Key words: gynecological neoplasms, social alienation, qualitative study, systematic review

中图分类号:

R473.71

严雪, 刘倩倩, 魏思琪. 妇科癌症患者社会疏离影响因素的质性研究Meta整合[J]. 护理学报, 2022, 29(20): 39-43.

YAN Xue, LIU Qian-qian, WEI Si-qi. Qualitative Studies on Influencing Factors of Social Alienation in Gynecological Cancer Patients: A Meta-integration[J]. Journal of Nursing, 2022, 29(20): 39-43.

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