中华护理杂志 ›› 2023, Vol. 58 ›› Issue (12): 1504-1511.DOI: 10.3761/j.issn.0254-1769.2023.12.014
张文雨(), 张静静(), 郭唱, 张旭, 武明金, 闫金松
收稿日期:
2022-08-04
出版日期:
2023-06-20
发布日期:
2023-06-25
通讯作者:
张静静,E-mail:19229535@qq.com作者简介:
张文雨:女,本科(硕士在读),E-mail:zwy970407@163.com
基金资助:
ZHANG Wenyu(), ZHANG Jingjing(), GUO Chang, ZHANG Xu, WU Mingjin, YAN Jinsong
Received:
2022-08-04
Online:
2023-06-20
Published:
2023-06-25
摘要:
目的 系统评价育龄期女性癌症患者生育力保存决策体验的质性研究,了解其决策需求,为提供决策辅助措施、提高决策满意度提供依据。 方法 计算机检索中国知网、维普数据库、万方数据库、PubMed、Web of Science、Cochrane Library、Embase、中国生物医学文献服务系统中关于育龄期女性癌症患者生育力保存决策体验的质性研究,检索时限为建库至2022年6月。 结果 共纳入15篇文献,提炼58个研究结果,归纳成14个新的类别,形成5个整合结果:决策过程艰难,多伴有消极情绪体验;对自身及子女健康存在多方面担忧;面临多种决策困境;存在多方面的决策支持需求;采取积极的应对方式。 结论 育龄期女性癌症患者面临生育力保存决策时心理压力大,决策负担重,缺乏决策支持。医护人员应了解患者的决策需求,提供科学的决策辅助措施,帮助患者减轻决策压力,减少决策冲突。
张文雨, 张静静, 郭唱, 张旭, 武明金, 闫金松. 育龄期女性癌症患者生育力保存决策体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(12): 1504-1511.
ZHANG Wenyu, ZHANG Jingjing, GUO Chang, ZHANG Xu, WU Mingjin, YAN Jinsong. The experience of fertility preservation decision-making in child-bearing period women with cancer:a qualitative Meta-synthesis[J]. Chinese Journal of Nursing, 2023, 58(12): 1504-1511.
[1] | 黄国宁. 生育力保护概述[J]. 实用妇产科杂志, 2016, 32(4):241-242. |
Huang GN. Overview of fertility protection[J]. J Pract Obstet Gynecol, 2016, 32(4):241-242. | |
[2] | 梁晓燕, 方丛, 李晶洁, 等. 中国女性肿瘤患者生育力保护及保存专家共识[J]. 中国肿瘤临床, 2020, 47(5):217-221. |
Liang XY, Fang C, Li JJ, et al. Expert consensus on fertility protection and preservation of female cancer patients in China[J]. Chin J Clin Oncol, 2020, 47(5):217-221. | |
[3] | 中国妇幼保健协会生育力保存专业委员会. 女性生育力保存临床实践中国专家共识[J]. 中华生殖与避孕杂志, 2021, 41(5):383-391. |
Fertility Preservation Professional Committee of China Maternal and Child Health Association. Chinese expert consensus on clinical practice of female fertility preservation[J]. Chin J Reprod Contracept, 2021, 41(5):383-391. | |
[4] |
Oktay K, Harvey BE, Loren AW. Fertility preservation in patients with cancer:ASCO clinical practice guideline update summary[J]. J Oncol Pract, 2018, 14(6):381-385.
DOI URL |
[5] |
王松梅, 赵亚杰, 候莹鸽, 等. 青年女性癌症患者生育信息需求及支持的研究进展[J]. 中华护理杂志, 2022, 57(14):1777-1782.
DOI URL |
Wang SM, Zhao YJ, Hou YG, et al. Research advances on fertility information needs and support for adolescent and young adult female cancer patients[J]. Chin J Nurs, 2022, 57(14):1777-1782.
DOI URL |
|
[6] |
Goossens J, Delbaere I, van Lancker A, et al. Cancer patients’ and professional caregivers’ needs,preferences and factors as-sociated with receiving and providing fertility-related information:a mixed-methods systematic review[J]. Int J Nurs Stud, 2014, 51(2):300-319.
DOI PMID |
[7] | 安培, 王慧, 吴克瑾, 等. 年轻女性早期乳腺癌患者生育力保存决策的内心体验[J]. 中国护理管理, 2022, 22(3):354-358. |
An P, Wang H, Wu KJ, et al. Experience of fertility preservation decision-making in young women with early breast cancer:a qualitative study[J]. Chin Nurs Manag, 2022, 22(3):354-358. | |
[8] | 胡雁. 循证护理学[M]. 北京: 人民卫生出版社, 2012:130-141. |
Hu Y. Evidence-based nursing[M]. Beijing: People’s Medical Pub-lishing House, 2012:130-141. | |
[9] |
Corney RH, Swinglehurst AJ. Young childless women with breast cancer in the UK:a qualitative study of their fertility-related experiences,options,and the information given by health professionals[J]. Psychooncology, 2014, 23(1):20-26.
DOI URL |
[10] |
Dagan E, Modiano-Gattegno S, Birenbaum-Carmeli D. “My cho-ice”:breast cancer patients recollect doctors fertility preservation recommendations[J]. Support Care Cancer, 2017, 25(8):2421-2428.
DOI URL |
[11] | Dahhan T, van der Veen F, Bos AME, et al. The experiences of women with breast cancer who undergo fertility preservation[J]. Hum Reprod Open, 2021, 2021(2):18. |
[12] |
Ehrbar V, Urech C, Alder J, et al. Decision-making about fertility preservation-qualitative data on young cancer patients’ attitudes and needs[J]. Arch Womens Ment Health, 2016, 19(4):695-699.
DOI URL |
[13] |
Garvelink MM, ter Kuile MM, Bakker RM, et al. Women’s experiences with information provision and deciding about fertility preservation in the Netherlands:’satisfaction in general,but unmet needs’[J]. Health Expect, 2015, 18(5):956-968.
DOI PMID |
[14] |
Hershberger PE, Finnegan L, Altfeld S, et al. Toward theoretical understanding of the fertility preservation decision-making process:examining information processing among young women with cancer[J]. Res Theory Nurs Pract, 2013, 27(4):257-275.
DOI URL |
[15] |
Hershberger PE, Finnegan L, Pierce PF, et al. The decision-mak-ing process of young adult women with cancer who conside-red fertility cryopreservation[J]. J Obstet Gynecol Neonatal Nurs, 2013, 42(1):59-69.
DOI URL |
[16] |
Hershberger PE, Sipsma H, Finnegan L, et al. Reasons why young women accept or decline fertility preservation after cancer diagnosis[J]. J Obstet Gynecol Neonatal Nurs, 2016, 45(1):123-134.
DOI URL |
[17] |
Hoeg D, Schmidt L, Macklon KT. Young female cancer patients’ experiences with fertility counselling and fertility preservation—a qualitative small-scale study within the Danish health care setting[J]. Upsala J Med Sci, 2016, 121(4):283-288.
DOI URL |
[18] |
Huang SM, Hsieh PL, Hsiung Y, et al. Decision-making process regarding fertility among reproductive-age women with cancer in Taiwan[J]. Cancer Nurs, 2017, 40(5):394-402.
DOI URL |
[19] |
Komatsu H, Yagasaki K, Yamauchi H. Fertility decision-making under certainty and uncertainty in cancer patients[J]. Sex Reprod Healthc, 2018, 15:40-45.
DOI PMID |
[20] |
Snyder KA, Tate AL,. What to do now. How women with breast cancer make fertility preservation decisions[J]. J Fam Plann Reprod Health Care, 2013, 39(3):172-178.
DOI URL |
[21] |
Srikanthan A, Ethier JL, Amir E. The voices of young women with breast cancer:providing support and information for im-proved fertility preservation discussions[J]. J Adolesc Young Adult Oncol, 2019, 8(5):547-553.
DOI URL |
[22] |
Vogt KS, Hughes J, Wilkinson A, et al. Preserving fertility in women with cancer (PreFer):decision-making and patient-reported outcomes in women offered egg and embryo freezing prior to cancer treatment[J]. Psychooncology, 2018, 27(12):2725-2732.
DOI URL |
[23] |
Jones G, Hughes J, Mahmoodi N, et al. What factors hinder the decision-making process for women with cancer and contemplating fertility preservation treatment?[J]. Hum Reprod Update, 2017, 23(4):433-457.
DOI PMID |
[24] |
Takeuchi E, Kato M, Wada S, et al. Physicians’ practice of discussing fertility preservation with cancer patients and the associated attitudes and barriers[J]. Support Care Cancer, 2017, 25(4):1079-1085.
DOI PMID |
[25] | 郑丹萍, 董鑫, 王晓晶. 年轻乳腺癌患者生育计划及知识与治疗决策的研究[J]. 护理学杂志, 2015, 30(22):31-34. |
Zheng DP, Dong X, Wang XJ. Fertility plan,knowledge and decision-making preferences in young breast cancer women[J]. J Nurs Sci, 2015, 30(22):31-34. | |
[26] |
高文君, 黄慧, 田凤美, 等. 育龄期甲状腺癌女性患者生育忧虑的潜在剖面分析[J]. 中华护理杂志, 2022, 57(22):2738-2744.
DOI URL |
Gao WJ, Huang H, Tian FM, et al. Latent profile analysis of reproductive concerns among female thyroid cancer patients at reproductive age[J]. Chin J Nurs, 2022, 57(22):2738-2744.
DOI URL |
|
[27] | 雷静, 李金花, 林琴, 等. 年轻乳腺癌患者生育指导的最佳证据总结[J]. 中华护理杂志, 2022, 57(18):2268-2275. |
Lei J, Li JH, Lin Q, et al. Best evidence summary for the fertility guidance in young breast cancer patients[J]. Chin J Nurs, 2022, 57(18):2268-2275. | |
[28] |
Quinn GP, Vadaparampil ST, Gwede CK, et al. Discussion of fer-tility preservation with newly diagnosed patients:oncologists’ views[J]. J Cancer Surviv, 2007, 1(2):146-155.
DOI URL |
[29] | Rashedi AS, de Roo SF, Ataman LM, et al. Survey of fertility preservation options available to patients with cancer around the globe[J]. JCO Glob Oncol, 2020, 2(6):331-344. |
[30] |
van den Berg M, Kaal SEJ, Schuurman TN, et al. Quality ofintegrated female oncofertility care is suboptimal:a patient-reportedmeasurement[J]. Cancer Med, 2022, 10(8):1-11.
DOI URL |
[31] |
Armuand GM, Wettergren L, Rodriguez-Wallberg KA, et al. Women more vulnerable than men when facing risk for treatment-induced infertility:a qualitative study of young adults newly diagnosed with cancer[J]. Acta Oncol, 2015, 54(2):243-252.
DOI URL |
[1] | 雒晓燕, 崔仁善, 许秀梅, 崔苗苗, 郭玲茹, 周丹. 基于“互联网+”的护理干预对癌症患者疼痛影响的Meta分析[J]. 中华护理杂志, 2023, 58(9): 1056-1062. |
[2] | 张旭, 孙迪, 李小寒, 李娇娇, 秦楠, 李贺吉. 癌症患者复发恐惧的潜在剖面分析[J]. 中华护理杂志, 2023, 58(6): 662-669. |
[3] | 董朝晖, 卢惠娟, 陆箴琦, 张晓菊, 张玉侠. 癌症患者社会疏离体验的质性研究[J]. 中华护理杂志, 2023, 58(6): 670-675. |
[4] | 张丰翼, 刘素婷, 张立力. 决策辅助工具在癌症患者生育力保护中的应用进展[J]. 中华护理杂志, 2023, 58(6): 689-694. |
[5] | 李珍, 周梦, 陈露娜, 曲瑞杰, 陈思诺, 王惠玲. 癌症患者工作生活质量量表的汉化及信效度检验[J]. 中华护理杂志, 2023, 58(6): 695-700. |
[6] | 宋秀秀, 吴娟, 王逸楠. ICU转出患者睡眠障碍发生率的系统评价[J]. 中华护理杂志, 2023, 58(6): 743-750. |
[7] | 颜景政, 董文烁, 王美娟, 吕晓燕, 谭然, 曹英娟. 计算机化认知训练对轻度认知障碍患者干预效果的系统评价再评价[J]. 中华护理杂志, 2023, 58(5): 617-623. |
[8] | 郭卫婷, 刘建萍, 张晓雪, 张彬彬, 吴煜峥, 王文君. 远程心脏康复有效性及依从性的系统评价再评价[J]. 中华护理杂志, 2023, 58(4): 426-432. |
[9] | 张泽涵, 苗波, 闫晓霞, 仇雪娟, 巩毅娟, 张爱枝. 脑死亡患者家属器官捐献决策体验的Meta整合[J]. 中华护理杂志, 2023, 58(4): 485-492. |
[10] | 李丽君, 段应龙, 刘翔宇, 成琴琴, 谢建飞, 郑树基. 癌症患者同伴支持量表的汉化及信效度检验[J]. 中华护理杂志, 2023, 58(3): 374-379. |
[11] | 陈欢, 侯朝铭, 高静, 柏丁兮, 吴晨曦, 杨直, 罗欢. 中文版高血压患者服药依从性量表测量学特性的系统评价[J]. 中华护理杂志, 2023, 58(2): 171-178. |
[12] | 逄天宇, 袁玲, 武丽桂, 周玉洁, 王丹若, 周智, 颜恺然, 孙露露. 晚期癌症患者家属安宁疗护决策体验的质性研究[J]. 中华护理杂志, 2023, 58(13): 1559-1564. |
[13] | 石柳清, 刘玥, 彭稚琳, 王蓓. 安心卡的文化调试及在晚期癌症患者中的应用[J]. 中华护理杂志, 2023, 58(13): 1579-1584. |
[14] | 王伊娜, 徐亦虹, 柳小琳, 吴文瑾, 颜梦雅, 王美娟, 高杨, 杨丹, 潘红英, 徐菊玲. 肝切除术后患者肝功能衰竭风险预测模型的系统评价[J]. 中华护理杂志, 2023, 58(12): 1496-1503. |
[15] | 马丽, 史崇清, 陈向荣. 肺癌患者家庭照顾者获益感的潜在剖面分析及护理对策[J]. 中华护理杂志, 2023, 58(11): 1330-1337. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||