Objective To systematically evaluate the qualitative research on the care experience of home hospice caregivers,in order to provide references for paying attention to the care quality of home caregivers and building a home hospice care support system. Methods Qualitative studies on the nursing experience of home hospice caregivers were searched in electronic databases,including the Cochrane Library,JBI,Embase,PubMed,PsycINFO,Web of Science,CINAHL,CNKI,WanFang,CBM Database. The search time was from inception to June 31,2021. Quality of the literature were evaluated according to JBI Critical Appraisal Checklist for Qualitative Research and then the meta-synthesis was performed. Results Totally 19 studies were included and 80 research results were extracted. Finally 7 categories and 3 integrated results were formed. Integrated result：①Caregivers have strong negative experience;②Caregivers actively respond to negative experiences and gain personal growth;③Caregivers seek multifaceted support. Conclusion Home hospice caregivers have heavy care burden and great physical and mental pressure,and are eager for multi-party support. It is suggested to pay attention to the inner experience and needs of family caregivers,and build a regional homogeneous linkage support system of home hospice,so as to improve the nursing quality of home hospice.

Objective To explore the potential categories and influencing factors of psychological resilience in primary brain tumor patients. Methods A convenient sampling method was used to select 237 primary brain tumor patients hospitalized in the Neurosurgery Department of a tertiary hospital in Kunming,Yunnan Province from December 2020 to August 2021. General information questionnaire,Resilience Scale-14（RS-14）,Medical Coping Modes Questionnaire（MCMQ） and Perceived Social Support Scale（PSSS） were conducted for investigation. Latent class analysis （LCA） was used to explore the potential categories of psychological resilience among patients with primary brain tumor. Single factor analysis,analysis of variance and ordinal and multinomial logistic regression analysis were used to identify the factors associated with the potential categories of psychological resilience. Results A total of 226 returned questionnaires were valid,resulting an effective response rate of 95.4%. Based on the analysis of potential categories,the psychological resilience of patients with primary brain tumor was divided into 3 potential categories,namely low level group （27.4%）,medium-high fluctuation group（30.1%） and high level group（42.5%）. The result of ordinal and multinomial logistic regression analysis showed that the score of PSSS（OR=1.045,P<0.001）,facing dimension（OR=1.102,P=0.016） and yield dimension（OR=0.865,P=0.013） in MCMQ,and rural residence （OR=0.437,P=0.049） were the influencing factors of the potential categories of psychological resilience. Conclusion Patients with primary brain tumor have obvious differences in characteristics by psychological resilience. More awareness and interventions from healthcare providers based on characteristics of different types of patients and influencing factors are needed,in order to promote the psychological resilience.

Objective To evaluate the reliability and validity of the Chinese version of M.D. Anderson Symptom Inventory Brain Tumor Module（MDASI-BT） as a tool for assessing multiple symptoms in Chinese brain tumor patients. Methods From December 2019 to October 2020,208 patients with primary brain tumor were recruited by convenience sampling method from a tertiary hospital in Yunnan Province for a questionnaire survey,in order to evaluate the reliability and validity of the instrument. Results The Chinese version of MDASI-BT contained 28 items,including 22 symptom assessment items and 6 symptom interference assessment items. Through exploratory factor analysis,6 common factors extracted from 22 symptom assessment items could account for 63.137% of the cumulative variance. One common factor extracted from 6 symptom interference assessment items could explain a cumulative variance of 63.368%. The Cronbach’s α coefficient of the instrument was 0.920,and the split-half reliability was 0.894. Conclusion The Chinese version of MDASI-BT showed high reliability and validity. It can be used as a specific and practical tool for assessing cancer-related symptoms and its disturbance of life in patients with brain tumor.

Objective To systematically review body image experience of patients with head and neck cancer（HNC） and to provide healthcare professionals with foundations to develop interventions. Methods Qualitative studies on body image experience of HNC patients,published by December 2020,were searched in English and Chinese databases,including PubMed,Web of Science,Embase,Cochrane Library,PsyINFO,CINAHL,CNKI,Wanfang,VIP and CBM. The quality of included studies were evaluated by Joanna Briggs Institute Critical Appraisal Tool for qualitative studies. Results A total of 9 eligible studies were included. Based on the similarities of the extracted 44 findings,we concluded 7 new categories and further synthesized 3 integrated themes,including serious impact of body image change on HNC patients,various influencing factors of body image experience in HNC patients,and different coping strategies of body image issues in HNC patients. Conclusion Body image is a critical issue in HNC patients. To deal with this issue,more awareness and interventions should be given from healthcare professionals. Family supports are encouraged,with a balance with patients’ autonomy. More appropriate social and cultural attention to the body image issues in HNC patients are needed.