关键词: 育龄期, 癌症, 生育力保存决策, 系统评价, Meta 整合, 肿瘤护理

Abstract:

Objective To systematically integrate the qualitative research on the experience of fertility preservation decision-making in child-bearing period women with cancer，in order to provide the references for providing decision-making aids and increasing decision-making satisfaction. Methods Databases of CNKI，VIP，Wanfang，PubMed，Web of Science，Cochrane Library，Embaseand Sinomed were retrieved on qualitative research about the experience of fertility preservation decision-making in child-bearing period women with cancer. The retrieval period is from the establishment of the databases to June 2022. Results A total of 15 studies were included，and 58 available research results were extracted，which were then classified into 14 new categories，and finally 5 integrated re-sults were formed：difficulties on decision-making process，accompanied experience of negative emotion；multiple wor-ries and concerns about their own health and their children；dilemma of decision-making；demand of support for decision-making；positive coping patterns. Conclusion Child-bearing period women with cancer usually lacked sup-port for decision making and harbored much stress on themselves，which leads to much psychological burden，when they faced decision-making on fertility preservation. Therefore，medical staff should understand the decision-making needs of patients，and should provide aid on scientific decision making，which can help patients release decision-mak-ing pressure and reduce decision-making conflicts.

Key words: Child-Bearing Period, Cancer, Fertility Preservation Decision-making, Systematic Evaluation, Meta-Synthesis, Oncologic Nursing