乳腺癌患者乳房重建真实体验的Meta整合  

Study on the real experience in breast reconstruction for breast cancer patients: A Meta synthesis

作　　者：任佳蕾 强万敏[2] 李静[2] 王燕[2] 张莹[1] Ren Jialei;Qiang Wanmin;Li Jing;Wang Yan;Zhang Ying(Tianjin University of Traditional Chinese Medicine,Tianjin 301617;Tumor Hospital of Tianjin Medical University,Tianjin 301617)

机构地区：[1]天津中医药大学,天津301617 [2]天津医科大学肿瘤医院,天津300060

出　　处：《护士进修杂志》2020年第8期687-692,共6页Journal of Nurses Training

摘　　要：目的系统评价并整合乳腺癌患者经历即刻或延期乳房重建术真实体验的质性研究。了解患者在经历乳房重建术整个过程中的感受,为合理开展乳房重建术的护理工作提供指导。方法检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase、The Cochrane Library、Medline、CINAHL数据库,检索时间为建库至2019年2月28日。采用2017版澳大利亚循证卫生保健中心质性研究质量评价标准对文献进行方法学评价,并采用汇集性整合法,整合与分析乳腺癌患者经历乳房重建真实感受的主题。结果共纳入10篇文献,其中中文2篇,英文8篇。将研究结果归纳汇总后,得出84个结果,分析整合后合并为15个新类别,再综合成4个整合结果:医疗知识缺乏和决策迷茫、围术期身心俱疲、术后满意度较高、术后生活质量有待提高。结论在乳房切除的同时或延期行乳房重建手术,可以获得良好的美容效果,改善患者的生活质量。临床护理工作者应关注患者在经历乳房重建术整个过程中的感受,了解患者的真实体验和需求,并及时、有针对性地为患者提供帮助,提升乳房重建术后患者的生活质量。Objective To systematically evaluate and integrate the qualitative study of breast cancer patients’ real experience of immediate or delayed breast reconstruction, understand the feelings of patients in the whole process of breast reconstruction, for the rational development of breast reconstruction nursing work to provide guidance. Methods CNKI, WanFang, VIP, CBM, PubMed, EMbase, The Cochrane Library, Medline and CINAHL databases were searched from the establishment to February 28, 2019. The 2017 Australian evidence-based health care center qualitative research quality evaluation standard was adopted to conduct methodological evaluation of the literature, and the aggregation integration method was adopted to integrate and analyze the theme of breast reconstruction experience of breast cancer patients. Results A total of 10 articles were included, including 2 in Chinese and 8 in English. After summarizing the research results, 84 results were obtained. After analysis and integration, they were combined into 15 new categories, and then combined into 4 integrated results: lack of medical knowledge and confusion in decision-making, peri-operative physical and mental exhaustion, high postoperative satisfaction, and postoperative quality of life remains to be improved. Conclusion Breast reconstruction with or after mastectomy can achieve good cosmetic results and improve patients’ quality of life. Clinical nursing workers should pay attention to the feelings of patients during the whole process of breast reconstruction, understand the real experience and needs of patients, and provide timely and targeted help for patients to improve the quality of life of patients after breast reconstruction.

关 键 词：乳腺癌 乳房重建 真实体验 质性研究 系统评价 Meta整合 护理 

分 类 号：R473.73[医药卫生—护理学] R473.71[医药卫生—临床医学]