鼻咽癌放疗患者心理社会适应体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2026.14.017

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (14): 1997-2005.DOI: 10.3761/j.issn.0254-1769.2026.14.017

鼻咽癌放疗患者心理社会适应体验质性研究的Meta整合

周琳¹(), 吴飞¹, 李冰¹, 吕和平², 周婧¹, 秦渝琴¹, 陈小芳³, 曾谷清¹^,^*()

¹ 南华大学护理学院湖南省衡阳市 421001
² 南华大学附属第一医院头颈盆腔肿瘤科湖南省衡阳市 421000
³ 衡阳市第一人民医院感染管理科湖南省衡阳市 421002

收稿日期:2026-01-02 出版日期:2026-07-20 发布日期:2026-07-17
*通讯作者: 曾谷清，E-mail：zengguqing0123@163.com
作者简介:周琳：女，本科（硕士在读），E-mail：1737516799@qq.com
第一联系人：作者贡献声明
周琳：选题设计、文献检索与筛选、质量评价、资料分析、论文撰写；吴飞、李冰、吕和平：文献检索与筛选、质量评价；周婧、秦渝琴、陈小芳：资料分析；曾谷清：研究指导、论文审阅和修改、基金支持
基金资助:
湖南省自然科学基金(2021JJ30586)

Psychosocial adaptation experiences in nasopharyngeal carcinoma patients undergoing radiotherapy：a qualitative Meta-synthesis

ZHOU Lin¹(), WU Fei¹, LI Bing¹, LÜ Heping², ZHOU Jing¹, QIN Yuqin¹, CHEN Xiao-fang³, ZENG Guqing¹^,^*()

¹ School of Nursing， University of South China，Hengyang， Hunan Province 421001， China
² Department of Head， Neck，and Pelvic Oncology，the First Affiliated Hospital of South China University，Hengyang， Hunan Province 421000， China
³ Department of Healthcare-associated Infection Management， Hengyang First People’s Hospital，Hengyang， Hunan Province 421002， China

Received:2026-01-02 Online:2026-07-20 Published:2026-07-17
* Corresponding author: ZENG Guqing，E-mail：zengguqing0123@163.com
Funding program:
Natural Science Foundation of Hunan Province of China(2021JJ30586)

摘要/Abstract

摘要：

目的系统评价与整合关于鼻咽癌放疗患者心理社会适应体验的质性研究，为优化患者心理社会支持策略提供参考。方法检索PubMed、Embase、Web of Science、Cochrane Library、CINAHL、中国知网、万方数据库、维普数据库、中国生物医学文献数据库等数据库，获取涉及鼻咽癌放疗患者心理社会适应体验的质性研究，检索时限为建库至2026年3月。采用2016版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评价文献质量，并应用汇集性整合方法进行结果整合。结果共纳入22篇文献，提炼出96个研究主题，归纳为7个类别，最终汇合为3个整合结果：面临心理社会适应困境、产生对外界支持的需求、采取多样化的应对策略。结论医护人员应重视鼻咽癌放疗患者所面临的心理社会适应困境、支持需求及应对策略，提供综合性的干预指导，构建医疗-家庭-同伴支持系统，帮助患者走出困境，改善整体生活质量。

关键词: 鼻咽癌, 心理, 社会适应, 应对策略, 质性研究, Meta整合

Abstract:

Objective To systematically evaluate and integrate the psychosocial adaptation experience of patients with nasopharyngeal carcinoma undergoing radiotherapy，providing a reference for optimizing psychosocial support strategies. Methods We searched databases including PubMed，Embase，Web of Science，Cochrane Library，CINAHL，CNKI，Wanfang，VIP，and CBM Database. The literature of qualitative research on the psychosocial adaptation experience of patients with nasopharyngeal carcinoma from the establishment of the database to March 2026 was retrieved. Literature quality was assessed using the Australian JBI Quality Evaluation Criteria for Qualitative Research in Evidence-based Health Care Centers（2016），and the results were consolidated using an aggregative integration approach. Results A total of 96 themes were extracted，and 7 new categories were formed after induction and integration，which were finally merged into 3 integrated results，including facing psychosocial adaptation difficulties，generating a need for external support，and adopting diverse coping strategies. Conclusion Healthcare professionals should pay attention to the psychosocial adaptation difficulties，support needs，and coping strategies of patients with nasopharyngeal carcinoma undergoing radiotherapy，provide comprehensive intervention guidance，establish a medical-family-peer support system，assist patients in overcoming challenges，and improve their overall quality of life.

Key words: Nasopharyngeal Carcinoma, Psychology, Social Adjustment, Coping Skills, Qualitative Research, Meta-Synthesis

周琳, 吴飞, 李冰, 吕和平, 周婧, 秦渝琴, 陈小芳, 曾谷清. 鼻咽癌放疗患者心理社会适应体验质性研究的Meta整合[J]. 中华护理杂志, 2026, 61(14): 1997-2005.

ZHOU Lin, WU Fei, LI Bing, LÜ Heping, ZHOU Jing, QIN Yuqin, CHEN Xiao-fang, ZENG Guqing. Psychosocial adaptation experiences in nasopharyngeal carcinoma patients undergoing radiotherapy：a qualitative Meta-synthesis[J]. Chinese Journal of Nursing, 2026, 61(14): 1997-2005.

图/表 4

图1 PubMed检索策略

Figure 1 PubMed search strategies

图2 文献筛选流程

Figure 2 Literature screening process

表1 纳入文献的基本特征（n=22）

Table 1 Basic features of the included literature（n=22）

表2 纳入文献的方法学质量评价结果（n=22）

Table 2 Results of literature quality evaluation（n=22）

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鼻咽癌放疗患者心理社会适应体验质性研究的Meta整合

Psychosocial adaptation experiences in nasopharyngeal carcinoma patients undergoing radiotherapy：a qualitative Meta-synthesis

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