乳腺癌患者化疗所致脱发心理体验质性研究的Meta整合  

Psychological experience of chemotherapy-induced alopecia in breast cancer patients:a meta-synthesis of qualitative studies

作　　者：高蕊 姚思雨 邢彩溢 杨妍婷 王永丽 沈永青 Gao Rui;Yao Siyu;Xing Caiyi;Yang Yanting;Wang Yongli;Shen Yongqing(School of Nursing,Hebei University of Chinese Medicine,Shijiazhuang 050200,China;Interventional Operating Room,the First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China)

机构地区：[1]河北中医药大学护理学院,石家庄050200 [2]河北北方学院附属第一医院介入手术室,张家口075000

出　　处：《中华现代护理杂志》2023年第31期4232-4239,共8页Chinese Journal of Modern Nursing

基　　金：2021年河北省研究生示范课程(KCJSX2021064)。

摘　　要：目的系统分析与评价乳腺癌患者化疗所致脱发(CIA)的心理体验。方法计算机检索Web of Science、PubMed、Cochrane Library、Embase、CINAHL、中国知网、中国生物医学文献数据库、万方数据库、维普数据库中关于乳腺癌患者CIA心理体验的质性研究,检索时限均为建库至2022年10月15日。对符合要求的文献采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准进行质量评价,对各研究结果进一步整合分析。结果共纳入文献11篇,提炼59个明确主题,将相似主题归纳形成12个新的类别,并综合为4个整合结果,分别为乳腺癌患者对脱发表现出差异性的应对形式、呈现出不同的心理感受、面临的困难与挑战、渴望支持与需求。结论 CIA影响乳腺癌患者的身心健康与社会交往,医护人员应重视乳腺癌患者对脱发的症状认知及体验,建立有效的护患沟通并加强脱发知识的健康教育,鼓励其积极应对,减少脱发困扰的同时提高生活质量。Objective To systematically analyze and evaluate the psychological experience of chemotherapy-induced alopecia(CIA)in breast cancer patients.Methods The qualitative study on the CIA psychological experience of breast cancer patients was searched through computers in Web of Science,PubMed,Cochrane Library,Embase,CINAHL,China National Knowledge Infrastructure(CNKI),China Biomedical Literature Database,WanFang Data and VIP.The search period was from the establishment of the database to October 15,2022.The quality evaluation of literature that met the criteria was conducted using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center in Australia,and the results of each study were further integrated and analyzed.Results A total of 11 articles were included and 59 clear themes were extracted.The similar themes were summarized into 12 new categories and integrated into 4 synthesized results,namely,breast cancer patients'differential coping styles with alopecia,different psychological feelings,difficulties and challenges they faced,and desire for support and needs.Conclusions CIA affects the physical and mental health and social interaction of breast cancer patients.Medical and nursing staff should pay attention to the cognition and experience of breast cancer patients on alopecia symptoms,establish effective communication between nurses and patients,strengthen health education on alopecia knowledge,encourage patients to actively respond,so as to reduce alopecia problems and improve the quality of life.

关 键 词：乳腺肿瘤 脱发 心理体验 质性研究 Meta整合 

分 类 号：R473.73[医药卫生—护理学]