乳腺癌患者夫妻亲密关系质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2024.05.016

摘要/Abstract

摘要：

目的系统整合乳腺癌患者夫妻亲密关系的质性研究，为开展乳腺癌患者及其配偶相关心理社会干预提供依据。方法计算机检索PubMed、Web of Science、CINHAL、Embase、Cochrane Library、澳大利亚乔安娜布里格斯研究所（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夫妻亲密关系的质性研究，检索时限为建库至2022年10月。使用2017版JBI循证卫生保健中心质性研究质量评价标准评价文献质量，采用汇集性整合方法对结果进行整合。结果共纳入13篇文献，提炼出55个结果，归纳出14个类别，3个整合结果：冲突与被破坏的亲密关系；改变与调整的亲密关系；平衡与升华的亲密关系。结论在罹患乳腺癌后，患者的夫妻亲密关系会经历多种变化，医护人员应及时了解乳腺癌患者与配偶的感受，提供针对有效的干预与支持，促进患者夫妻亲密关系的稳定发展，以提高其应对癌症的能力。

关键词: 乳腺肿瘤, 亲密关系, 心理护理, 质性研究, Meta整合

Abstract:

Objective Systematic integration of qualitative research on couple intimacy in breast cancer patients was conducted to provide a foundation for psychosocial interventions involving breast cancer patients and their spouses. Methods For the qualitative studies of couple intimacy in breast cancer patients，a computer search was carried out on PubMed，Web of Science，CINHAL，Embase，the Cochrane Library，Joanna Briggs Institute（JBI），CNKI，Wanfang Database，VIP Database，and CBM. The retrieval time was from the establishment of the databases to October 2022. The quality of the literature was evaluated by the 2017 JBI Evidence-Based Health Care Center Quality Evaluation Criteria，and the results were integrated using the convergent integration method. Results 13 studies were included，and 55 results were extracted into 14 categories. 3 outcomes were combined，including conflict and harmed intimacy，modified and adjusted intimacy，and balanced and sublimated intimacy. Conclusion Patients who have breast cancer may experience numerous changes in their intimate relationships. Medical professionals should promptly understand the emotions of breast cancer patients and their spouses. Then，they should make targeted，effective interventions and support to encourage the growth of stable intimacy，which will help the couple cope with cancer better.

Key words: Breast Neoplasms, Intimacy, Psychological Nursing, Qualitative Research, Meta-Synthesis

高文娟, 张倩, 韩静. 乳腺癌患者夫妻亲密关系质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(5): 618-625.

GAO Wenjuan, ZHANG Qian, HAN Jing. Meta-integration of qualitative research on couple intimacy in breast cancer patients[J]. Chinese Journal of Nursing, 2024, 59(5): 618-625.

图/表 4

图1 PubMed检索策略

Figure 1 The search strategy of PubMed

图2 文献筛选流程图

Figure 2 Flow diagram of literature screening

表1 纳入文献的基本特征（n=13）

Table 1 The basic characteristics of the included literature（n=13）

表2 纳入文献的方法学质量评价（n=13）

Table 2 Methodological quality evaluation of the included literature（n=13）

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