乳腺癌患者癌症相关认知功能障碍体验的Meta整合  

Experience of Cancer-Related Cognitive Impairment in breast cancer patients:a Meta-synthesis

作　　者：刘卉 吴婉英[2] 方群英[3] 梁冠冕[2] 李敬仪 LIU Hui;WU Wanying;FANG Qunying;LIANG Guanmian;LI Jingyi(School of Nursing,Zhejiang Chinese Medical University,Hangzhou,310053,China)

机构地区：[1]浙江中医药大学护理学院,杭州市310053 [2]浙江省肿瘤医院护理部 [3]浙江省肿瘤医院乳腺外科

出　　处：《中国护理管理》2024年第9期1335-1340,共6页Chinese Nursing Management

基　　金：中华护理学会2022年度立项科研课题(ZHKY202210)。

摘　　要：目的:整合乳腺癌患者癌症相关认知功能障碍体验的质性研究结果,为医护人员进行症状管理提供依据。方法:计算机检索国内外数据库中关于乳腺癌患者癌症相关认知功能障碍生活体验的质性研究,检索时限为建库至2024年5月31日,采用汇集性整合方法对结果进行整合分析。结果:共纳入15篇文献,提炼出50个研究结果,归纳为6个新的类别,综合成3个整合结果:患者对认知功能下降的感知及原因、癌症相关认知功能障碍对患者造成多方面的影响、患者主动适应认知功能下降并希望获得外界更多支持。结论:认知功能下降是乳腺癌患者真实存在的问题,对患者造成众多影响,医护人员应该重视患者认知功能下降主诉并予以干预,帮助其改善认知功能。Objective:To integrate the findings of qualitative studies on the experience of Cancer-Related Cognitive Impairment(CRCI)in breast cancer patients.Methods:PubMed,CINAHL,Embase,PsycINFO,Cochrane Library,CNKI,Wanfang,VIP,CBM were searched for qualitative researches on the experience of patients with CRCI from inception to May 31,2024.The research findings were summarized and integrated by the convergent integration method.Results:A total of 15 studies were included.Fifty research findings were extracted and summarized into 6 new categories.Three integrated themes were synthesized:patients'perception of cognitive decline and its causes,CRCI has multiple effects on patients,patients actively adapt to cognitive decline and hope to get more supports from the outside.Conclusion:Cognitive decline is a problem in breast cancer patients and it has many effects on patients.Medical staff should pay attention to patients'complaints of cognitive decline and help them improve their cognitive function.

关 键 词：乳腺癌 认知功能障碍 质性研究 Meta整合 循证护理学 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]