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

摘要：

目的 系统评价育龄期女性癌症患者生育力保存决策体验的质性研究，了解其决策需求，为提供决策辅助措施、提高决策满意度提供依据。 方法 计算机检索中国知网、维普数据库、万方数据库、PubMed、Web of Science、Cochrane Library、Embase、中国生物医学文献服务系统中关于育龄期女性癌症患者生育力保存决策体验的质性研究，检索时限为建库至2022年6月。 结果 共纳入15篇文献，提炼58个研究结果，归纳成14个新的类别，形成5个整合结果：决策过程艰难，多伴有消极情绪体验；对自身及子女健康存在多方面担忧；面临多种决策困境；存在多方面的决策支持需求；采取积极的应对方式。 结论 育龄期女性癌症患者面临生育力保存决策时心理压力大，决策负担重，缺乏决策支持。医护人员应了解患者的决策需求，提供科学的决策辅助措施，帮助患者减轻决策压力，减少决策冲突。

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