关键词: 乳腺肿瘤, 乳房成形术, 心理护理, 质性研究, Meta整合

Abstract:

Objective To systematically review women’s experience of undergoing reconstructive surgery after breast cancer to fully understand patients’ psychological needs and provide better evidence for clinical work.Methods We searched databases including the Cochrane Library,Joanna Briggs Institute Library,PubMed,EMbase,Scopus,Web of Science,CINAHL,PsycINFO,CNKI,and CMB from inception to September 2018,to collect qualitative studies on women’s experience of undergoing reconstructive surgery after breast cancer. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. The results were integrated by integrating methods.Results A total of ten studies were included. Twenty-nine complete findings were grouped according to similarities to form seven new categories. These categories resulted in three synthesized findings：decision making for breast reconstruction：lack of information and hesitation;painful struggle after breast reconstruction：difficulties insurgical process and frustration with the outcome;adjustment after breast reconstruction：psychological and life style adjustment.Conclusion Healthcare workers should pay attention to psychological changes and information needs of patients with breast reconstruction,provide necessary support to help patients to adapt to life after breast reconstruction,and improve patients’ quality of life.

Key words: Breast Neoplasms, Mammaplasty, Psychological Nursing, Qualitative Research, Meta Integration