癌症患者化疗所致周围神经炎症状体验的Meta整合  

Meta-synthesis of symptom experience of chemotherapy-induced peripheral neuropathy in cancer patients

作　　者：樊嘉欣 罗一凡 杨英姿 李玉梅 Fan Jiaxin;Luo Yifan;Yang Yingzi;Li Yumei(School of Medicine,Tongji University,Shanghai 200331,China;Nursing Department,Shanghai Pulmonary Hospital Affiliated to Tongji University,Shanghai 200433,China)

机构地区：[1]同济大学医学院,上海200331 [2]同济大学附属上海市肺科医院护理部,上海200433

出　　处：《中华现代护理杂志》2023年第9期1191-1198,共8页Chinese Journal of Modern Nursing

基　　金：同济大学护理学院(筹)教改及临床研究项目(JS2210319)。

摘　　要：目的:系统整合癌症患者化疗所致周围神经炎的症状体验。方法:计算机检索PubMed、Cochrane Library、Joanna Briggs Iistitute(JBI)、Embase、Web of Science、OVID、EBSCO、中国知网、万方数据库、维普网、中国生物医学文献服务系统,收集癌症患者化疗所致周围神经炎症状体验的质性研究。检索时限为建库至2021年11月30日。采用澳大利亚JBI循证卫生保健中心的评价工具进行质量评价。采用汇集性整合法整合结果。结果:共纳入13篇文献,提炼45个结果,归纳形成13个类别,整合为6个整合结果:化疗致周围神经炎征象复杂,难以用语言准确描述;患者及医护人员常忽视化疗致周围神经炎;患者复杂的情绪体验;化疗所致周围神经炎严重影响患者的生活质量;患者的疾病应对方式多样;患者渴望得到专业的指导与社会支持。结论:医护人员应提升对化疗所致周围神经炎的重视程度,关注患者的负性情绪并提供专业指导,强化社会支持系统,重建患者的治疗信心。Objective To systematically integrate the symptom experience of chemotherapy-induced peripheral neuropathy in cancer patients.Methods Qualitative researches on the symptom experience of chemotherapy-induced peripheral neuropathy in cancer patients were searched through PubMed,Cochrane Library,Joanna Briggs Iistitute(JBI),Embase,Web of Science,OVID,EBSCO,China National Knowledge Infrastruture,Wanfang Database,VIP,SinoMed.The retrieval period was from the establishment of database to November 30,2021.The quality of included studies was assessed using the evaluation tool of JBI Evidence-Based Health Care Centre Australia.The results were synthesized by the integrating method.Results A total of 13 studies were included,45 results were extracted,13 categories were classified,and 6 integrated results were synthesized:patients and medical staff often ignore chemotherapy-induced peripheral neuritis;the signs of chemotherapy-induced peripheral neuropathy are complex and difficult to be accurately described;patients'complex emotional experience;chemotherapy-induced peripheral neuropathy seriously affects patients'quality of life;patients cope with their illness in a variety of ways;patients long for professional guidance and social support.Conclusions Medical staff should pay more attention to chemotherapy-induced peripheral neuropathy,pay attention to patients'negative emotions and provide professional guidance,strengthen the social support system and rebuild patients'confidence in treatment.

关 键 词：肿瘤 化疗所致周围神经炎 质性研究 Meta整合 

分 类 号：R730.53[医药卫生—肿瘤]