关键词: 乳腺肿瘤, 叙事疗法, 范围综述, 心理护理

Abstract:

Objective The scope of literature review correlated to narrative intervention for patients living with breast cancer was conducted to define the object，form，content，timing/duration and patient outcomes. It can provide references for future research and development of efficient，scientific，and rigorous narrative intervention programs for breast cancer patients and guide clinical practice. Methods According to the scoping review methodology，we systematically searched PubMed，CINAHL，Embase，Web of Science，Cochrane library，CNKI，WanFang database and VIP database. The search period is from the establishment of the database to December 31，2022. There are 2 researchers who analyzed the included studies independently. Results A total of 25 papers from 6 countries were included，and 12 of which coming from China. The results found that the narrative intervention runs throughout the treatment of breast cancer patients. Patients at different treatment stages have different needs for narrative intervention. Less attention had been paid to breast cancer survivors. The forms of narrative intervention include “telling story”，“writing story” and “watching/reading story”. Most of narrative practice forms were “telling story”. Overall，the narrative intervention had significant improvements in psychological，physical，cognitive and life quality，family relationship/social support for breast cancer patients. Conclusion Narrative intervention has positive effects on patients with breast cancer. Currently，the forms of narrative practice for patients with breast cancer need to be further enriched. More attention should be paid to breast cancer survivors，and narrative intervention programs should be individualized according to patient characteristics to enhance intervention effects.

Key words: Breast Neoplasms, Narration, Scoping Review, Psychological Nursing