Chinese Journal of Nursing ›› 2024, Vol. 59 ›› Issue (7): 865-872.DOI: 10.3761/j.issn.0254-1769.2024.07.015

• Evidence Synthesis Research • Previous Articles     Next Articles

Meta-synthesis of qualitative research on the experience of self-management behavior changes for cancer patients

LIN Wenwen(), XU Mei, XIA Yun, JIANG Ning, MO Yuwei, WANG Li, NING Li()   

  • Received:2023-05-11 Online:2024-04-10 Published:2024-04-09
  • Contact: NING Li

癌症患者自我管理行为转变体验质性研究的Meta整合

林雯雯(), 徐梅, 夏云, 江宁, 莫瑜威, 王莉, 宁丽()   

  1. 310053 杭州市 浙江中医药大学护理学院(林雯雯,徐梅,江宁,莫瑜威);杭州市肿瘤医院护理部(夏云);杭州市第一人民医院护理部(王莉,宁丽)
  • 通讯作者: 宁丽
  • 作者简介:林雯雯:女,本科(硕士在读),E-mail:544374812@qq.com
  • 基金资助:
    浙江省基础公益研究计划项目(LGF22H160079);浙江省医药卫生科技计划项目(2023KY192);杭州市医学重点学科(OO20200265)

Abstract:

Objective To systematically evaluate the self-management behavior transformation experience of cancer patients,providing a basis for the subsequent development of targeted self-management intervention measures. Methods Qualitative studies related to self-management behavior transformation experience of cancer patients from Cochrane Library,CINAHL,Embase,PubMed,Web of science,PsycINFO,and China National Knowledge Infras-tructure,VIP Database,Wanfang Database,and China Biomedical Literature Database were searched by computer,with a search deadline of July 2023. The literature quality evaluation was conducted using the qualitative research quality evaluation standards of the Evidence Based Health Care Center at the Joanna Briggs Institute in Australia,and the results were integrated using a pooled integration method. Results A total of 12 articles were included,and 50 research results were extracted and summarized into 14 new categories. 4 integrated results were synthesized,including the forms of self-management behavior transformation,the characteristics of self-management behavior transformation,the driving factors of self-management behavior transformation,and the obstacles to self-management behavior transformation. Conclusion Medical staff should pay attention to the real experience of cancer patients’ self-management behavior transformation. Targeted ability cultivation and psychological intervention can be carried out based on the characteristics and influencing factors of cancer patients’ self-management behavior transformation,promoting their smooth transformation of self-management behavior.

Key words: Neoplasms, Self-Management, Transition, Qualitative Research, Evidence-Based Nursing

摘要:

目的 系统评价与整合癌症患者自我管理行为转变的体验,为后续制订针对性的自我管理干预措施提供依据。 方法 计算机检索Cochrane Library、CINAHL、Embase、PubMed、Web of Science、PsycINFO、中国知网、维普数据库、万方数据库和中国生物医学文献数据库中有关癌症患者自我管理行为转变体验的质性研究,检索时限为建库至2023年7月。采用澳大利亚乔安娜布里格斯研究所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,采用汇集性整合的方法进行结果整合。 结果 共纳入12篇文献,提炼出50个研究结果,归纳成14个新类别,合成4个整合结果:自我管理行为的转变形式、自我管理行为的转变特征、自我管理行为转变的动力因素、自我管理行为转变的阻碍因素。 结论 医护人员应关注癌症患者自我管理行为转变的真实体验,根据自我管理行为转变特征及影响因素进行针对性的能力培养和心理干预,促进其自我管理行为的顺利转变。

关键词: 肿瘤, 自我管理行为, 转变, 质性研究, 循证护理学