乳腺癌患者的青少年子女心理体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2024.08.016

摘要/Abstract

摘要：

目的系统评价与整合乳腺癌患者的青少年子女心理体验的质性研究，为进一步开展家庭康复干预提供依据。方法检索PubMed、Web of Science、Cochrane Library、Embase、CINAHL、澳大利亚乔安娜布里格斯研究（Joanna Briggs Institute，JBI）循证卫生保健中心数据库、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中关于乳腺癌患者的子女在母亲罹患乳腺癌后的经历与感受的质性研究。检索时限为建库至2022年10月。采用2020版JBI的质性研究质量评价标准对纳入文献进行方法学质量评价，采用汇集性整合方法对原始研究结果进行整合。---- 结果==== 共纳入10篇文献，提炼出49个结果，归纳形成10个类别，综合成4个整合结果：觉察到母亲罹患乳腺癌带来的变化与新需求；体验到负性情绪与遗传担忧；努力应对母亲罹患乳腺癌后的生活；发现母亲罹患乳腺癌带来的积极意义。结论医护人员应重视乳腺癌患者的青少年子女的心理健康，提供相应的心理支持与健康指导，促进其积极适应母亲罹患乳腺癌后的生活。

关键词: 乳腺肿瘤, 子女, 心理体验, 质性研究, Meta整合

Abstract:

Objective To systematically evaluate qualitative studies on the experiences related to the integration of children with a breast cancer mother and to provide a basis for further family rehabilitation interventions. Methods We searched databases including the PubMed，Web of Science，the Cochrane Library，Embase，CINAHL，Joanna Briggs Institute（JBI），CNKI，Wanfang database，VIP Database and CBM to collect qualitative research on the experience or feelings of children after their mothers suffered from breast cancer. The retrieval period was from the establishment of the database to October 2022. The quality of the included studies was evaluated based on Joanna Briggs Institute Critical Appraisal Tool for qualitative research（2020 edition）. The results were integrated by the method of aggregative integration. Results A total of 10 papers were included，and 49 outcomes were extracted into 10 categories and synthesised into 4 integrated outcomes：being aware of the changes and new needs brought about by breast cancer；experiencing negative emotions and genetic worries；trying to cope with life after mother’s breast cancer；discovering the positivity that comes from breast cancer. Conclusion Healthcare professionals should pay attention to the psychological experience of children with a breast cancer mother and provide appropriate psychological support and health education to promote their positive adjustment，thereby facilitating the recovery of breast cancer families.

Key words: Breast Neoplasms, Children, Psychological Experience, Qualitative Research, Meta-Synthesis

张倩, 高文娟, 韩静. 乳腺癌患者的青少年子女心理体验质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(8): 1005-1011.

ZHANG Qian, GAO Wenjuan, HAN Jing. Meta-integration of qualitative studies of psychological experiences of children with a breast cancer mother[J]. Chinese Journal of Nursing, 2024, 59(8): 1005-1011.

图/表 3

图1 文献筛选流程图

Figure 1 Flow diagram of literature screening

表1 纳入文献的基本特征（n=10）

Table 1 The basic characteristics of the included literature（n=10）

表2 纳入文献的方法学质量评价（n=10）

Table 2 Methodological quality evaluation of the included literature（n=10）

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