胰腺癌病人术后真实体验质性研究的Meta整合  

Qualitative study on the real experience of pancreatic cancer patients after surgery:a Metaintegration

作　　者：李雯 徐亦虹 王佳楠 洪思思 杨志超 潘红英[2] LI Wen;XU Yihong;WANG Jianan;HONG Sisi;YANG Zhichao;PAN Hongying(School of Nursing,Zhejiang Chinese Medical University,Zhejiang 310053 China;Sir Run Run Shaw Hospital Affiliated to Zhejiang University,School of Medicine)

机构地区：[1]浙江中医药大学护理学院,浙江310053 [2]浙江大学医学院附属邵逸夫医院

出　　处：《循证护理》2025年第2期210-216,共7页Chinese Evidence-Based Nursing

摘　　要：目的:系统评价胰腺癌病人术后真实体验的相关质性研究,为制定有效的干预策略提供参考依据。方法:计算机检索the Cochrane Library、PubMed、Web of Science、CINAHL、EMbase、PsyINFO、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中关于胰腺癌术后病人真实体验的质性研究,检索时限均为建库至2023年12月。根据澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心推荐的质性研究质量评价标准对纳入文献质量进行评价,采用汇集性整合方法对结果进行整合。结果:共纳入12篇文献,提炼出51个研究结果,归纳为11个类别,综合成3个整合结果:胰腺癌病人术后饱受症状困扰;胰腺癌病人术后复杂的情绪反应;胰腺癌病人术后需求。结论:胰腺癌病人术后身心面临双重挑战,自我管理能力不足,医护人员应多角度了解病人术后支持性管理需求,制定多元化应对策略,优化病人术后体验。Objective:To systematically evaluate the qualitative studies on the real experience of pancreatic cancer patients after surgery,and to provide reference for formulating effective intervention strategies.Methods:Qualitative studies on the real experience of patients after pancreatic cancer surgery were retrieved from the Cochrane Library,PubMed,Web of Science,CINAHL,EMbase,PsyINFO,CNKI,WanFang Database,VIP and CBM.The search period was up to December,2023.According to the qualitative research quality evaluation criteria recommended by the Australian JBI Evidence based Healthcare Center,the quality of the included literature was evaluated,and the results were integrated using a pooled integration method.Results:A total of 12 articles were included,and 51 research results were extracted,which were summarized into 11 categories,and three integrated results were synthesized:pancreatic cancer patients were troubled by symptoms after surgery;the complicated emotional reaction of pancreatic cancer patients after surgery;postoperative needs of pancreatic cancer patients.Conclusion:Patients with pancreatic cancer face dual physical and mental challenges after surgery,and their self-management ability is insufficient.Medical staff should understand patients'postoperative supportive management needs from multiple perspectives,formulate diversified coping strategies,and optimize patients'postoperative experience.

关 键 词：胰腺癌 术后体验 质性研究 Meta整合 循证护理 

分 类 号：R73[医药卫生—肿瘤]