居家口服抗癌药物患者服药体验及需求质性研究的Meta整合  

Meta-integration of medication experience and needs of oral chemotherapy drugs for cancer patients at home

作　　者：李晓莉 孟爱凤[1,2] 徐桂华[3] 智晓旭[1,2] 张柳柳 邾萍[1,2] Li Xiaoli;Meng Aifeng;Xu Guihua;Zhi Xiaoxu;Zhang Liuliu;Zhu Ping(Department of Nursing,Jiangsu Cancer Hospital&Jiangsu Institute of Cancer Research&The Affiliated Cancer Hospital of Nanjing Medical University,Nanjing 210009,China;Cancer Nursing Research Center,Nanjing Medical University,Nanjing 210009,China;School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]江苏省肿瘤医院江苏省肿瘤防治研究所,南京医科大学附属肿瘤医院护理部,南京210009 [2]南京医科大学护理研究中心肿瘤护理研究分中心,南京210009 [3]南京中医药大学护理学院,南京210023

出　　处：《中国实用护理杂志》2022年第32期2555-2560,F0003,共7页Chinese Journal of Practical Nursing

基　　金：江苏省科技厅社会发展面上项目(BE2019757);2021年江苏省研究生科研与实践创新计划(SJCX21_0666);南京医科大学护理研究中心肿瘤护理研究分中心开放课题(NYZLKF-1-202103)。

摘　　要：目的系统评价居家口服抗癌药物患者的服药体验及需求,为制订、实施针对该部分患者的居家监管措施提供参考依据。方法计算机检索PubMed、Embase、Web of Science、The Cochrane Library、CINAHL、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,搜集有关居家口服抗癌药物患者服药体验及需求的质性研究,检索年限为建库至2021年5月1日。采用澳大利亚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Meta整合中的汇集性整合方法进行结果整合。结果共纳入11篇文献,提炼出52个主题,归纳形成13个类别,得出4个整合结果:沉重的心理负性体验;经受躯体考验;渴望获得外界支持;自行调整应对疾病。结论针对居家口服抗癌药物患者产生的4个方面体验和需求,医护人员需要引导其树立健康信念、提高疾病感知和应对能力,多途径采取措施满足患者的知识、沟通、社会支持需求。Objective To systematically evaluate the medication experience and needs of patients with oral anticancer drugs at home,providing reference for the formulation and implementation of home supervision measures for these patients.Methods PubMed,Embase,Web of Science,The Cochrane Library,CINAHL,CNKI,Wanfang database,VIP database and Chinese biomedical literature database were searched by computer to collect qualitative studies on medication experience and needs of patients with oral anticancer drugs at home.The retrieval period was from the database construction to May 1,2021.The quality of the literature was evaluated by the Australian JBI qualitative research quality evaluation criteria for evidence-based health care centres,and the results were integrated by the pooled integration method of Meta-integration.Results A total of 11 studies were included,52 results were extracted,13 categories were summarized and 4 integrated results were obtained:heavy negative psychological experience;undergo physical trials;a desire for outside support;adjust to the disease.Conclusions According to the four aspects of experience and needs of patients with oral anticancer drugs at home,medical staff should guide them to establish health belief,improve disease perception and coping ability,and take measures to meet patients′needs for knowledge,communication and social support through multiple channels.

关 键 词：定性研究 META分析 口服抗癌药物 

分 类 号：R473.73[医药卫生—护理学]