癌症患者照顾者角色过渡体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2023.09.015

摘要/Abstract

摘要：

目的系统评价癌症患者照顾者角色过渡体验，明确其支持需求，为后续制订针对性干预措施提供依据。方法计算机检索PubMed、Cochrane Library、Embase、EBSCO、Web of Science、中国知网、维普数据库、万方数据库、中国生物医学文献数据库中收录的有关癌症患者照顾者角色过渡体验的质性研究，检索时限为建库至2022年3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14篇研究，提炼出65个研究结果，将相近的结果归纳组合成9个新的类别，综合得到3个整合结果：癌症诊断过程漫长复杂，诊断告知方面存在很大挑战，初期照顾者应对困难；采取不同的应对策略帮助患者更好地应对疾病带来的挑战，以期逐渐适应照顾者角色；通过照顾经历获得新衍生的意义和角色成长。结论医护工作者应关注癌症患者照顾者向新角色过渡的真实体验，可根据照顾者角色特点进行针对性的能力培养及心理干预，促进其角色成功过渡，为后期拟订以家庭为中心的过渡护理计划提供参考依据。

关键词: 肿瘤, 照顾者, 过渡, 心理体验, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate the role transition experience of cancer caregivers，thereby identifying their support needs to develop targeted interventions. Methods The databases of PubMed，the Cochrane Library，Embase，EBSCO，Web of Science，CNKI，VIP，Wanfang，and CBM were retrieved for qualitative research about the role transition experience of caregivers of cancer patients. The retrieval period is from the establishment of the databases to March 2022. The quality of the literature was evaluated by JBI Critical Appraisal Tool for qualitative studies. Results A total of 14 studies were included，and 65 research results were extracted，which were grouped into 9 new categories. 3 integrated themes were finally synthesized：the process of cancer diagnosis was lengthy and complicated，and caregivers experienced difficulties in coping and especially had challenges in diagnosis disclosure；caregivers adopted different coping strategies to help patients to better cope with disease-related challenges，and to adapt to the role of caregivers；the newly derived meaning in the caregiving experience and role growth was gained. Conclusion Healthcare workers should be aware of the transitioning experience of cancer caregivers in taking this new role，and develop targeted ability training and psychological intervention programs，so as to promote the successful transition of the caregiver’s role and provide a family-centered transitional care plan in the future.

Key words: Neoplasms, Caregivers, Transition, Psychological Experience, Qualitative Research, Meta Integration, Evidence-Based Nursing

张若林, 楼妍, 吴婉英, 王春兰, 傅丽英, 周瑶, 洪美容, 徐毓露, 冯欣悦. 癌症患者照顾者角色过渡体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(9): 1127-1134.

ZHANG Ruolin, LOU Yan, WU Wanying, WANG Chunlan, FU Liying, ZHOU Yao, HONG Meirong, XU Yulu, FENG Xinyue. Meta integration of qualitative research on role transition experience of caregivers of cancer patients[J]. Chinese Journal of Nursing, 2023, 58(9): 1127-1134.

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