成人癌症患者癌性疼痛真实体验及管理质性研究的Meta整合  

Real experience and management of cancer pain in adult cancer patients: a Meta-synthesis of qualitative research

作　　者：姚瑞山 边婷婷[1] 陈园园 万佳[1] 杨梦娟 代艺[3] Yao Ruishan;Bian Tingting;Chen Yuanyuan;Wan Jia;Yang Mengjuan;Dai Yi(Cancer Intensive Care Unit,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430024,China;Head and Neck Oncology Department,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430024,China;Cancer Center Nursing Department,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430024,China)

机构地区：[1]华中科技大学同济医学院附属协和医院肿瘤ICU,武汉430024 [2]华中科技大学同济医学院附属协和医院头颈肿瘤科,武汉430024 [3]华中科技大学同济医学院附属协和医院肿瘤中心护理部,武汉430024

出　　处：《中华现代护理杂志》2024年第15期1993-2000,共8页Chinese Journal of Modern Nursing

基　　金：2021年华中科技大学同济医学院附属协和医院院内药技护专项基金(202105)。

摘　　要：目的系统整合成人癌症患者癌性疼痛真实体验及管理的质性研究,为完善成人癌症患者癌性疼痛管理、减轻其癌性疼痛提供参考。方法系统检索Cochrane Library、PubMed、Web of Science、CINAHL、Embase、ProQuest、Scopus、中国生物医学文献数据库、中国知网、万方数据库和维普数据库中关于癌症患者癌性疼痛真实体验及管理的质性研究相关文献,检索时限为建库至2023年8月。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评价文献,采用汇集性Meta整合方法对研究结果进行整合归纳。结果共纳入文献16篇,提炼出78个结果,形成11个类别,汇总成4个整合结果:成人癌症患者对癌性疼痛的认知现状,癌性疼痛对患者的影响,癌性疼痛自我管理策略,癌性疼痛相关就医体验。结论成人癌症患者存在癌性疼痛认知缺乏、负性影响、自我管理策略不足、就医体验不佳等缓解癌痛的障碍,患者需完善自我管理策略,国家及医疗机构应提供全面支持,从而使患者与临床医护人员更好地进行癌性疼痛管理。Objective To systematically integrate qualitative research on the real experience and management of cancer pain in adult cancer patients,so as to provide reference for improving the management of cancer pain in adult cancer patients and reducing their cancer pain.Methods Qualitative research literature on the real experience and management of cancer pain in cancer patients was systematically searched in Cochrane Library,PubMed,Web of Science,CINAHL,Embase,ProQuest,Scopus,China Biomedical Database,China National Knowledge Infrastructure,Wanfang Data,and VIP.The search period was from database establishment to August 2023.The literature was evaluated using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center.The aggregation Meta-synthesis method was used to integrate and summarize research results.Results A total of 16 articles were included,and 78 results were extracted to form 11 categories,which were summarized into four integrated results of the cognitive status of adult cancer patients towards cancer pain,the impact of cancer pain on patients,self-management strategies for cancer pain,and medical experiences related to cancer pain.Conclusions Adult cancer patients face obstacles in alleviating cancer pain,such as lack of awareness of cancer pain,negative impacts,inadequate self-management strategies,and poor medical experience.Patients need to improve their self-management strategies,and the country and medical institutions should provide comprehensive support to enable patients and clinical medical and nursing staff to manage cancer pain.

关 键 词：肿瘤 癌性疼痛 真实体验 管理 质性研究 Meta整合 

分 类 号：R473.73[医药卫生—护理学]