乳腺癌相关淋巴水肿患者自我管理体验质性研究的Meta整合  

Meta integration of qualitative research on self-management experience of patients with breast cancer related lymphedema

作　　者：曹宁 乔东鸽[2] 车旭 曹齐争 崔嵘嵘 田淋 Cao Ning;Qiao Dongge;Che Xu;Cao Qizheng;Cui Rongrong;Tian Lin(School of Nursing,Henan Universily of Chinese Medicine,Zhengzhou 450046,China;Office of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450001,China;Department of Pain,Henan Proincial Hospital of Traditional Chinese Medicine,Zhengzhou 450002,China)

机构地区：[1]河南中医药大学护理学院,郑州450046 [2]河南中医药大学第一附属医院办公室,郑州450001 [3]河南省中医院疼痛科,郑州450002

出　　处：《中国实用护理杂志》2025年第9期681-688,共8页Chinese Journal of Practical Nursing

摘　　要：目的为系统整合乳腺癌相关淋巴水肿(BCRL)患者自我管理过程中的真实体验和多维度需求,为临床制订针对性、系统性的干预措施提供参考。方法计算机检索中国知网、维普数据库、万方数据库、中国生物医学文献数据库、CINAHL、PubMed、CochraneLibrary、Webof Science、PsycINFO中关于BCRL患者自我管理过程中真实体验、心理感受和多维度需求的质性研究,检索时间为建库至2024年1月31日。依据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进行文献的质量评价,采用汇集性整合法对结果进行分析整合。结果共纳入10篇文献,提炼出44个研究结果,把相似的结果归纳形成10个类别,综合成3个整合结果:经历的困难与挑战;需要外部多维度的支持和帮助;寻求新常态,感知益处。结论BCRL患者终身自我管理过程中面临着身心挑战,医院、社会及相关机构应重视并关注患者的需求、负担及获益体验,为其提供更多专业的指导与监督,同时协同家庭和同伴给予支持与鼓励,帮助患者减轻负性情绪和加强应对能力,继而提升整体生命质量。Objective Systematically integrate the real experience and multi-dimensional needs of patients with breast cancer related lymphedema(BCRL)in the process of self-management to provide reference for clinical development of targeted and systematic interventions.MethodssComputer searches were conducted on qualitative studies on the real experiences,psychological feelings,and multidimensional needs of BCRL patients during self-management in databases such as China National Knowledge Infrastructure,VIP Database,Wanfang Database,China Biomedical Literature Database,CINAHL,PubMed,Cochrane Library,Web of Science,and PsycINFO.The search period was from database establishment to January 31,2024.According to the qualitative research quality evaluation criteria of the Joanna Briggs Institute Evidence Based Healthcare Center in Australia,the quality of literature was evaluated,and the results were analyzed and integrated using a pooled integration method.Results A total of 10 articles were included,and 44 research results were extracted.Similar results were classified into 10 categories and synthesized into 3 integrated results,highlighting the difficulties and challenges encountered;need external multidimensional support and assistance;seeking a new normal and perceiving its benefits.Conclusions BCRL patients face physical and mental challenges in their lifelong self-management process.Hospitals,society,and related institutions should attach importance to and pay attention to the needs,burdens,and beneficial experiences of patients,provide them with more professional guidance and supervision,and collaborate with families and peers to provide support and encouragement,helping patients reduce negative emotions and strengthen coping abilities,thereby improving overall quality of life.

关 键 词：定性研究 淋巴水肿 乳腺癌 自我管理 Meta整合 

分 类 号：R47[医药卫生—护理学]