School of Nursing, Anhui Medical University, Hefei, China.
J Clin Nurs. 2023 Sep;32(17-18):5579-5595. doi: 10.1111/jocn.16648. Epub 2023 Feb 17.
To systematically review and synthesise existing qualitative research evidence describing the survival experience of patients undergoing oesophagectomy during recovery.
Patients with oesophageal cancer undergoing surgical treatment have severe physical and psychological burdens during the recovery period. Qualitative studies on the survival experience of patients undergoing oesophagectomy are increasing annually, but there is no integration of qualitative evidence.
A systematic review and synthesis of qualitative studies were conducted following the ENTREQ.
Five English (CINAHL, Embase, PubMed, Web of Science and Cochrane Library) and three Chinese (Wanfang, CNKI and VIP) databases were searched for literature on the survival of patients undergoing oesophagectomy during the recovery period from its establishment in April 2022. The quality of the literature was evaluated by the 'Qualitative Research Quality Evaluation Criteria for the JBI Evidence-Based Health Care Centre in Australia', and the data were synthesised by the thematic synthesis method of Thomas and Harden.
A total of 18 studies were included, and four themes were identified: physical and mental dual challenges, impaired social functioning, efforts to return to normal life, lack of knowledge and skills in post-discharge care, and thirst for external support.
Future research should focus on the problem of reduced social interaction during the recovery of patients with oesophageal cancer, formulating individualised exercise intervention programs and establishing a sound social support system.
The results of this study provide evidence-based support for nurses to carry out targeted interventions and reference methods for patients with oesophageal cancer to rebuild their lives.
The report was a systematic review and did not involve a population study.
系统回顾和综合现有的定性研究证据，描述接受食管切除术患者在康复期间的生存体验。
接受手术治疗的食管癌患者在康复期间承受着严重的身体和心理负担。每年都有越来越多关于接受食管切除术患者生存体验的定性研究，但这些证据没有得到综合。
按照 ENTREQ 进行系统回顾和定性研究的综合。
从 2022 年 4 月开始，在五个英文数据库（CINAHL、Embase、PubMed、Web of Science 和 Cochrane Library）和三个中文数据库（万方、中国知网和维普）中搜索关于患者在康复期间接受食管切除术的生存的文献。文献质量由澳大利亚 JBI 循证卫生保健中心的“定性研究质量评价标准”进行评价，数据通过托马斯和哈登的主题综合方法进行综合。
共纳入 18 项研究，确定了四个主题：身心双重挑战、社会功能受损、努力回归正常生活、缺乏出院后护理的知识和技能、渴望外部支持。
未来的研究应关注食管癌患者康复期间社交互动减少的问题，制定个体化的运动干预计划，并建立健全的社会支持系统。
本研究结果为护士开展针对性干预提供了循证支持，为食管癌患者重建生活提供了参考方法。
该报告是一项系统综述，不涉及人群研究。
