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

摘要：

目的 对叙事疗法在乳腺癌患者中应用现状进行范围综述，系统梳理叙事疗法开展形式、叙事疗法时机/时长、叙事疗法内容和患者结局，为制订乳腺癌患者叙事疗法方案提供参考。方法 按照范围综述方法学，系统检索PubMed、CINAHL、Embase、Web of Science、Cochrane Library、中国知网、万方数据库和维普中文科技期刊数据库，检索时限为建库至2022年12月31日。由2名研究者独立对检索文献进行筛选和分析，存在疑虑请第3名研究者决策。结果 纳入来自6个国家的25篇文献。对文献进行梳理发现叙事疗法贯穿了乳腺癌患者治疗全过程，不同治疗阶段的患者对叙事疗法内容需求不同，但对治疗结束的乳腺癌患者的关注较少；叙事疗法的形式包括“说故事”“写故事”和“看故事”。叙事疗法对乳腺癌患者心理、生理、认知功能、生存质量、家庭关系/社会支持均有显著的改善。结论 叙事疗法对乳腺癌患者具有积极影响，乳腺癌患者叙事疗法的开展形式有待进一步拓展，未来研究应加大对乳腺癌患者的关注力度，根据患者特征制订个体化的叙事疗法干预方案，提高干预效果。

关键词: 乳腺肿瘤, 叙事疗法, 范围综述, 心理护理