胃癌患者疾病体验及需求质性研究的Meta整合  

Disease experience and needs of gastric cancer patients:a Meta-synthesis of qualitative research

作　　者：吴清晨 魏贤 陶兴桥 张雯 邱欢 Wu Qingchen;Wei Xian;Tao Xingqiao;Zhang Wen;Qiu Huan(School of Nursing,Anhui Medical University,Hefei 230032,China)

机构地区：[1]安徽医科大学护理学院,合肥230032

出　　处：《中华现代护理杂志》2025年第8期1040-1045,共6页Chinese Journal of Modern Nursing

基　　金：安徽医科大学青苗培育项目(hlqm12024057)。

摘　　要：目的系统评价和整合胃癌患者的疾病体验及需求,为更好地开展临床护理工作提供循证依据。方法计算机检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库,收集整理有关胃癌患者患病过程体验及需求的质性研究,检索时限为建库至2024年2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对文献质量进行评价,采用汇集性整合方法对结果进行Meta整合。结果共纳入13篇文献,提炼出50个主题,归纳形成11个新类别及3个整合结果,分别为:疾病带来的痛苦和挑战、自我调适与生活新常态的探索和未得到充分满足的需求。结论胃癌患者在患病过程中面临多种重大挑战和改变,医护人员应重视患者的疾病体验及身心需求,构建胃癌患者个性化的护理方案,帮助患者与疾病共存,实现生活重建。ObjectiveTo systematically evaluate and integrate the disease experience and needs of gastric cancer patients,so as to provide an evidence-based basis for clinical nursing.MethodsQualitative studies on gastric cancer patients'experiences and needs during the disease process were electronically searched in PubMed,Web of Science,Embase,CINAHL,Cochrane Library,China National Knowledge Infrastructure,WanFang Data,VIP,and China Biomedical Database.The search period was from database establishment to February 2024.The quality of the literature was evaluated using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center.Meta-synthesis of results was performed using the aggregative synthesis.ResultsA total of 13 papers were included,and 50 themes were distilled and summarized to form 11 new categories and three integrative results,including suffering and challenges from illness,self-adjustment and the search for a new normal in life,and undermet needs.ConclusionsGastric cancer patients face a variety of significant challenges and changes during the course of their disease.Healthcare professionals should pay attention to the patients'disease experience and physical and mental needs,and construct personalized care plans for gastric cancer patients to help them coexist with the disease and achieve life reconstruction.

关 键 词：胃肿瘤 疾病体验 需求 自我调适 质性研究 Meta整合 

分 类 号：R73[医药卫生—肿瘤]