医护人员告知晚期癌症患者病情真实体验质性研究的Meta整合  

Experiences of healthcare professionals towards truthtelling in cancer:a Meta-synthesis of qualitative studies

作　　者：刘雨童 陆箴琦 张晓菊[1,2] 黄喆 刘晓霞 LIU Yutong;LU Zhenqi;ZHANG Xiaoju;HUANG Zhe;LIU Xiaoxia(Department of Nursing,Fudan University Shanghai Cancer Center,Shanghai 200032,China;Department of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China;Department of Palliative Care,Fudan University Shanghai Cancer Center,Shanghai 200032,China)

机构地区：[1]复旦大学附属肿瘤医院护理部,上海200032 [2]复旦大学上海医学院肿瘤学系,上海200032 [3]复旦大学附属肿瘤医院姑息治疗科,上海200032

出　　处：《肿瘤》2024年第7期767-777,共11页Tumor

基　　金：2020年复旦大学循证护理中心循证护理全链条创新研究项目(FNDGJ202009);2020年复旦大学-复星护理科研基金(FNF202014)

摘　　要：目的:通过Meta质性整合方法,了解医护人员在对晚期癌症患者进行病情告知过程中的真实情感体验。方法:检索数据库包括CNKI、万方数据、SinoMed、维普数据、PubMed、Web of Science、Scopus、The Cochrane Library、CINAHL、Embase和PsycINFO,检索自建库至2024年5月31日有关医护人员对癌症患者进行病情告知过程中的情感体验的文献。采用2016年JBI质性研究质量评价标准对文献质量进行评价,汇集性整合法对结果进行整合。结果:共纳入15篇文献,提炼出36个结果,归纳13个新类别,综合成3个整合结果,分别为病情告知促进因素、病情告知内部阻碍因素和病情告知外部阻碍因素。结论:医护人员在病情告知过程中存在双重体验,并且负性体验远多于正性体验。应加强对医护人员沟通能力的培养,完善病情告知支持系统,促进早期对晚期癌症患者进行病情告知的实现。Objective:This study aims to gain insight into the emotional experiences encountered by healthcare professionals when disclosing cancer diagnoses to patients.Methods:The CNKI,Wanfang Datebase,SinoMed,Weipu Database,PubMed,Web of Science,Scopus,The Cochrane Library,CINAHL,Embase and PsycINFO were searched until May 31,2024.The quality of included studies was evaluated according to 2017 JBI Critical Appraisal Tool for qualitative studies,and Meta-synthesis method was used to integrate the results.Results:A total of 15 studies were included,36 results were extracted,and 13 new categories were summarized.Additionally,three integrated results were synthesized,which were the promoters of disease notification,the internal barriers of disease informing,and the external barriers of disease informing.Conclusion:The current findings reveal a dual experience among medical staff during the notification process,with negative experiences outweighing the positive.Strengthening communication skills,enhancing the support system for disease notification,and advocating for early disclosure of the condition of patients with advanced cancer are imperative.

关 键 词：癌症患者 病情告知 质性研究 Meta整合 

分 类 号：R473.73[医药卫生—护理学]