晚期癌症患者照顾者心理体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2020.06.012

中华护理杂志 ›› 2020, Vol. 55 ›› Issue (6): 856-861.DOI: 10.3761/j.issn.0254-1769.2020.06.012

晚期癌症患者照顾者心理体验质性研究的Meta整合

王励飞,孔骞,米元元,汪冕,冯志仙,吴亚美,李睿明()

313000 浙江省湖州市湖州师范学院护理学院（王励飞,孔骞,李睿明）; 华中科技大学同济医学院附属协和医院重症医学科（米元元）; 香港理工大学护理学院（汪冕）; 树兰（杭州）医院护理事业部（冯志仙）; 温州医科大学附属第二医院护理部（吴亚美）

收稿日期:2019-06-25 出版日期:2020-06-15 发布日期:2020-06-05
通讯作者: 李睿明
作者简介:王励飞：男,本科（硕士在读）,护师,E-mail： <email>wlfly1018@163.com</email>

The psychological experience of caregivers of patients with advanced cancer：a meta-synthesis of qualitative studies

WANG Lifei,KONG Qian,MI Yuanyuan,WANG Mian,FENG Zhixian,WU Yamei,LI Ruiming()

Received:2019-06-25 Online:2020-06-15 Published:2020-06-05
Contact: Ruiming LI

摘要/Abstract

摘要：

目的分析与评价晚期癌症患者照顾者的心理体验。方法检索Cochrane Library、乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）循证卫生保健中心数据库、Embase、PubMed、PsycINFO、Web of Science、CINAHL、中国知网、万方数据库、中国生物医学文献数据库,检索有关晚期癌症患者照顾者心理体验质性研究的文献,检索时限为建库至2018年11月,采用2016版澳大利亚JBI循证卫生保健中心质性研究质量评价标准进行文献质量评价,采用Meta整合方法对结果进行整合分析。结果共纳入8项研究,提炼44个结果,归纳成9个新的类别,综合成3个整合结果。①照顾者的负性心理问题：负性情绪表现,心理应激来源;②照顾者的正性心理感受：心理弹性增强,照顾角色强化,享受照顾过程,转变生死观念;③照顾者的心理支持需求：专业人士支持,同伴亲友支持,精神信仰支持。结论护理人员应重视照顾者的负性心理问题,发挥正性心理效应,帮助照顾者强化社会支持系统,满足其心理支持需求,从而提高照顾质量。

关键词: 晚期癌症, 照顾者, 心理体验, 质性研究, 系统评价

Abstract:

Objective To analyze and evaluate the psychological experience of caregivers of patients with advanced cancer. Methods The Cochrane Library,JBI,Embase,PubMed,PsycINFO,Web of Science,CINAHL,CNKI,Wanfang Data and CBM were searched for qualitative studies on psychological experience of caregivers in patients with advanced cancer,and the retrieval period was from inception to November 2018. The Joanna Briggs Institute Critical Appraisal Tool for qualitative researches（2016） in Australia was used to evaluate quality of the studies. The results were integrated by a meta-synthesis method. Results 8 studies were included in the final review. Totally 44 findings were extracted; 9 new categories were generated; 3 integrated results were synthesized as ① Negative psychological problems of caregivers;② Positive psychological feelings of caregivers;③ Needs of psychological support of caregivers. Conclusion Nurses should pay attention to negative psychological problems of caregivers,exert positive psychological effects,help caregivers strengthen their social support system and meet their needs of psychological support,so as to improve quality of care.

Key words: Advanced Cancer, Caregivers, Psychological Experience, Qualitative Study, Systematic Review

王励飞, 孔骞, 米元元, 汪冕, 冯志仙, 吴亚美, 李睿明. 晚期癌症患者照顾者心理体验质性研究的Meta整合[J]. 中华护理杂志, 2020, 55(6): 856-861.

WANG Lifei, KONG Qian, MI Yuanyuan, WANG Mian, FENG Zhixian, WU Yamei, LI Ruiming. The psychological experience of caregivers of patients with advanced cancer：a meta-synthesis of qualitative studies[J]. Chinese Journal of Nursing, 2020, 55(6): 856-861.

图/表 2

参考文献 22

[1]	路静静, 成巧梅. 恶性肿瘤患者主要照顾者的影响因素及护理干预的研究现状[J]. 护士进修杂志, 2017,32(8):702-705.
[2]	张明君, 康璇, 赖巧蓉, 等. 晚期癌症患者主要照顾者照顾负荷及影响因素分析[J]. 护理学报, 2017,24(17):39-42.
[3]	Kershaw T, Ellis KR, Yoon H, et al. The interdependence of advanced cancer patients’ and their family caregivers’ mental health,physical health,and self-efficacy over time[J]. Ann Behav Med, 2015,49(6):901-911. DOI URL
[4]	Soylu C, Ozaslan E, Karaca H, et al. Psychological distress and loneliness in caregiver of advanced oncological inpatients[J]. J Health Psychol, 2016,21(9):1896-1906. DOI URL
[5]	李佳倩, 朱冰洁, 吴婷, 等. 晚期癌症患者家庭主要照顾者预期性悲伤现状及其影响因素分析[J]. 中国护理管理, 2019,19(4):547-552.
[6]	刘爱琴, 陈小红, 吴美华. 住院化疗的癌症患者主要照顾者心理状况分析[J]. 中华护理杂志, 2006,41(3):224-226.
[7]	胡雁, 郝玉芳. 循证护理学[M]. 北京: 人民卫生出版社, 2018: 157-174.
[8]	Totman J, Pistrang N, Smith S, et al. ‘You only have one chance to get it right':a qualitative study of relatives' experiences of caring at home for a family member with terminal cancer[J]. Palliat Med, 2015,29(6):496-507. DOI URL
[9]	Lin HR, Lin HC, Lin WC. Middle-aged female spouses of patients with metastatic cancer:lived experiences[J]. J Nurs Res, 2015,23(2):135-144.
[10]	Mok E, Chan F, Chan V, et al. Family experience caring for terminally ill patients with cancer in Hong Kong[J]. Cancer Nurs, 2003,26(4):267-275. DOI URL
[11]	Leow MQ, Chan SW. The challenges,emotions,coping,and gains of family caregivers caring for patients with advanced cancer in Singapore:a qualitative study[J]. Cancer Nurs, 2017,40(1):22-30. DOI URL
[12]	Wong MS, Chan SW. The experiences of Chinese family members of terminally ill patients-a qualitative study[J]. J Clin Nurs, 2007,16(12):2357-2364. DOI URL
[13]	刘雾珍, 佘淑婷. 癌症患者主要照顾者真实体验的质性研究[J]. 医学信息旬刊, 2011,24(7):130-131.
[14]	尤春霞, 张翠萍, 张明君. 新疆晚期癌症患者主要照顾者照顾负荷体验的质性研究[J]. 中国医药导报, 2018,15(20):39-42,46.
[15]	智晓旭, 周立. 晚期肺癌患者家庭照顾者负担体验的质性研究[J]. 护理学杂志, 2012,27(23):18-20.
[16]	Delgado-Guay MO, Parsons HA, Hui D, et al. Spirituality,religiosity,and spiritual pain among caregivers of patients with advanced cancer[J]. Am J Hosp Palliat Care, 2013,30(5):455-461. DOI URL
[17]	沈惠, 王琼. 基于微信平台的延续性护理在癌痛患者中的应用[J]. 中华现代护理杂志, 2018,24(17):2074-2078.
[18]	Mauss IB, Shallcross AJ, Troy AS, et al. Don't hide your happiness! Positive emotion dissociation,social connectedness,and psychological functioning[J]. J Pers Soc Psychol, 2011,100(4):738-748. DOI URL
[19]	Casellas-Grau A, Vives J, Font A, et al. Positive psychological functioning in breast cancer:an integrative review[J]. Breast, 2016,27:136-168. DOI URL
[20]	孟园, 牛小霞, 徐漠研, 等. 肝癌患者主要家庭照顾者的心理状态及社会支持与压力负荷的相关性分析[J]. 中华现代护理杂志, 2014,20(14):1617-1620.
[21]	Lee KC, Yiin JJ, Chao YF. Effect of integrated caregiver support on caregiver burden for people taking care of people with cancer at the end of life:a cohort and quasi-experimental clinical trial[J]. Int J Nurs Stud, 2016,56:17-26. DOI URL
[22]	张丽燕, 陆宇晗. 365例晚期癌症患者照顾者心理韧性现状及影响因素分析[J]. 护理学报, 2018,25(14):44-48.

晚期癌症患者照顾者心理体验质性研究的Meta整合

The psychological experience of caregivers of patients with advanced cancer：a meta-synthesis of qualitative studies

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