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促进癌症患者随访期间“患者赋权”的因素:文献的定性系统评价。

What Facilitates "Patient Empowerment" in Cancer Patients During Follow-Up: A Qualitative Systematic Review of the Literature.

机构信息

1 University of Warwick, Coventry, United Kingdom.

2 University of Birmingham, Birmingham, United Kingdom.

出版信息

Qual Health Res. 2018 Jan;28(2):292-304. doi: 10.1177/1049732317721477. Epub 2017 Jul 30.

DOI:10.1177/1049732317721477
PMID:28758544
Abstract

Empowerment is a concept of growing importance in cancer care, but little is known about cancer patients' experiences of empowerment during follow-up. To explore this area, a qualitative systematic literature review was conducted in PubMed, CINAHL, and PsycINFO. A total of 2,292 papers were identified and 38 articles selected and included in the review. The thematic synthesis of the papers resulted in seven analytical themes being identified: empowerment as an ongoing process, knowledge is power, having an active role, communication and interaction between patients and health care professionals, support from being in a group, religion and spirituality, and gender. Very few articles explicitly explored the empowerment of cancer patients during follow-up, and the review identified a lack of attention to patients' own understandings of empowerment, a lack of specific focus on empowerment during follow-up, and insufficient attention to collective empowerment, as well as ethnic, social, and gender differences.

摘要

赋权是癌症护理中日益重要的概念,但对于癌症患者在随访期间的赋权体验知之甚少。为了探讨这一领域,我们在 PubMed、CINAHL 和 PsycINFO 中进行了定性系统文献综述。确定了 2292 篇论文,选择并纳入了 38 篇文章进行综述。对这些论文的主题综合分析,确定了七个分析主题:赋权是一个持续的过程、知识就是力量、发挥积极作用、患者与医疗保健专业人员之间的沟通和互动、在群体中获得支持、宗教和精神信仰、以及性别。很少有文章明确探讨癌症患者在随访期间的赋权问题,综述发现,人们对患者自身对赋权的理解关注不足,对随访期间赋权的具体关注不足,对集体赋权以及种族、社会和性别差异关注不够。

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