College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, Korea.
College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.
J Clin Nurs. 2023 Jul;32(13-14):3030-3045. doi: 10.1111/jocn.16499. Epub 2022 Sep 7.
To identify the characteristics of uncertainty in illness (UI) among people with primary malignant brain tumours (PMBT).
High recurrence rates and complex symptoms cause uncertainty in people with PMBT. Given the characteristics of PMBT, reviewing UI among people with PMBT will benefit future research and clinical intervention development.
A mixed-methods systematic review.
We performed a mixed-methods systematic review (PubMed, CINAHL, Embase, PsycINFO, Scopus and Cochrane Library), including studies on UI among people with PMBT, searched from the databases' inception to the search date. The initial search was conducted in July 2021, with an additional search in March 2022. The major search terms were PMBT and UI, and no limitations were placed on the study design. The Cochrane tool was used to evaluate the risk of bias in randomised controlled trials, and JBI checklists were used to evaluate quasi-experimental studies, survey methodology studies and a case study. This review was reported using the PRISMA 2020 checklist. Both quantitative and qualitative research data were extracted, analysed and then integrated in three stages of a mixed-methods systematic review.
Eleven studies were included. Due to physical, psychological and social risk factors, the UI progression of people with PMBT was complex and ambiguous, although they adapted to the PMBT diagnosis and treatment process. Subsequently, we proposed a model of UI among people with PMBT.
UI has multidimensional characteristics, and healthcare providers need to consider these aspects for people with PMBT.
The proposed model provides directions for nursing practice and future research. Nurses caring for people with PMBT should comprehend their UI and intervene accordingly.
This review incorporated data including people with PMBT in hospitals and communities. This analysis contributes to the clinical-to-community nursing transition process for people with PMBT.
确定原发性恶性脑肿瘤（PMBT）患者疾病不确定感的特征。
高复发率和复杂的症状导致 PMBT 患者感到不确定。鉴于 PMBT 的特点，回顾 PMBT 患者的疾病不确定感将有益于未来的研究和临床干预措施的发展。
混合方法系统评价。
我们进行了一项混合方法系统评价（PubMed、CINAHL、Embase、PsycINFO、Scopus 和 Cochrane Library），包括 PMBT 患者疾病不确定感的研究，从数据库创建开始检索至检索日期。最初的检索于 2021 年 7 月进行，并于 2022 年 3 月进行了额外的检索。主要搜索词为 PMBT 和 UI，对研究设计没有限制。使用 Cochrane 工具评估随机对照试验的偏倚风险，使用 JBI 清单评估准实验研究、调查方法研究和案例研究。本综述使用 PRISMA 2020 清单进行报告。提取、分析并整合了定量和定性研究数据，然后在混合方法系统评价的三个阶段进行整合。
纳入了 11 项研究。由于身体、心理和社会风险因素，PMBT 患者的疾病不确定感进展复杂且模糊，尽管他们适应了 PMBT 的诊断和治疗过程。随后，我们提出了 PMBT 患者疾病不确定感的模型。
疾病不确定感具有多维特征，医疗保健提供者需要为 PMBT 患者考虑这些方面。
提出的模型为护理实践和未来的研究提供了方向。照顾 PMBT 患者的护士应理解他们的疾病不确定感并进行相应的干预。
本综述纳入了来自医院和社区的 PMBT 患者的数据。这种分析有助于 PMBT 患者的临床到社区护理过渡过程。
