育龄期乳腺癌患者生育忧虑干预方案的范围综述  

Intervention programs for fertility concerns in breast cancer survivors of childbearing age:a scoping review

作　　者：路莉静 吴谐 倪月娟 黄文霞[1] 张丽娟[1] 马茜 Lu Lijing;Wu Xie;Ni Yuejuan;Huang Wenxia;Zhang Lijuan;Ma Qian(Nursing Department,Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine,Suzhou 215009,China)

机构地区：[1]南京中医药大学附属苏州市中医医院护理部,苏州215009

出　　处：《中国实用护理杂志》2025年第7期545-551,共7页Chinese Journal of Practical Nursing

基　　金：苏州市护理学会姑苏护理人才"青苗"计划(SHQM202308);第一批苏州市医学重点扶持学科-临床护理学(SZFCXK202102)。

摘　　要：目的系统分析育龄期乳腺癌患者生育忧虑干预方案的相关研究,识别干预的具体内容、结局指标和干预效果,以期为临床医务人员实施相关干预提供参考。方法根据范围综述的研究方法,计算机检索中国知网、万方数据库、维普、中国生物医学文献数据库、CINAHL、PubMed、Cochrane Library、Web of Science等国内外数据库中与育龄期乳腺癌患者生育忧虑有关的研究,检索时限为建库至2024年5月9日。对纳入文献进行归类与分析。结果共纳入12篇文献,9篇为随机对照试验,2篇为自身前后对照研究,1篇为前瞻性队列研究。生育忧虑干预方案包括以夫妻为中心的团体生育咨询、多学科团队协作模式的生育支持以及基于"互联网+生殖健康"的生育管理。干预时长多为4周或24周。干预对生育忧虑水平、心理状态、婚姻现状等有不同程度的影响。结论关于育龄期乳腺癌患者生育忧虑的干预方案体现了重要性、专业性、即时性及互动性,但我国处于起步阶段,在多学科团队、生育转介制度、互联网平台搭建等方面尚有欠缺。未来研究应构建适用于我国的育龄期乳腺癌患者生育忧虑干预方案,通过互联网实现推广应用。Objective To analyze the relevant studies on fertility concerns intervention programs for breast cancer survivors of childbearing age,and identify the specific content,outcome indicators and intervention effects of intervention,in order to provide reference for clinical staff to implement relevant intervention.MethodsAccording to the research method of scope review,the studies on the fertility concerns with breast cancer patients of childbearing age in China National Knowledge Infrastructure,WanFang,VIP,China Biomedical Literature Database,CINAHL,PubMed,Cochrane Library,Web of Science etc.were searched.The search period was from database establishment to May 9,2024.The included literature was classified and analyzed.ResultsA total of 12 articles were included,9 were randomized controlled trials,2 were self-controlled before and after studies,and 1 was a prospective cohort study.Fertility concerns intervention programs included group fertility counseling centered on couples,fertility support based on a multidisciplinary team collaboration model,and fertility management based on"Internet+reproductive health".The duration of intervention was usually 4 or 24 weeks.The intervention had different effects on the level of fertility concerns,psychological state and marital status.ConclusionsAt present,the intervention programs for fertility concerns of breast cancer survivors of childbearing age reflect the importance,professionalism,immediacy and interactivity,but China is in the initial stage,and there are still shortcomings in multidisciplinary teams,fertility referral system,and Internet platform construction.Future research should build a breast cancer fertility intervention program suitable for our country,and promote its application through the Internet.

关 键 词：乳腺肿瘤 育龄期 生育忧虑 干预方案 范围综述 

分 类 号：R473.73[医药卫生—护理学]