Zhu Hanjing, Yang Linning, Yin Hongfan, Yuan Xia, Gu Jia, Yang Yan
Nursing Department, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
Health Serv Insights. 2024 Sep 11;17:11786329241278814. doi: 10.1177/11786329241278814. eCollection 2024.
The psycho-social adaptation of cancer patients is very important, which affects the treatment, rehabilitation process and prognosis of patients, and is closely related to the subjective well-being and quality of life of patients. However, the key factors affecting the psycho-social adjustment of cancer patients are not clear yet. This study aims to evaluate the psycho-social adaptation of cancer patients and its influencing factors based on a meta-analysis.
The Systematic review was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) checklist and guided by the society-to-cell model framework. Literature retrieval was conducted from the construction of the library to December 2023.
Fourteen pieces of literature were included in this study, with a total sample size of 2922 cases. Among the 14 literatures included, 9 were in English and 5 were in Chinese, published between 1991 and 2021. All of the 14 literatures were cross-sectional studies. According to the society-to-cells model framework, the influencing factors are divided into 5 levels: society, community, family, individual, and physiology. However, studies related to the cellular level are lacking.
The psychosocial adaptation of cancer patients is affected by physiology, individual, family, community and society, among which age, education level, disease uncertainty, hope level, psychological pain, self-efficacy, social support, coping styles (facing, avoidance, submission, and emotion-oriented) are the main factors affecting the psychosocial adaptation of cancer patients. However, studies related to the cellular level are lacking. This may be due to the fact that most of the factors from the individual to the society level are intervenable, and most studies focus more on the mining of these levels of factors. However, the biological basis is crucial to the occurrence and development of diseases, and needs to be paid attention to by nursing staff, and further research on this level needs to be strengthened in the future.
癌症患者的心理社会适应非常重要，它影响患者的治疗、康复过程及预后，且与患者的主观幸福感和生活质量密切相关。然而，影响癌症患者心理社会调适的关键因素尚不清楚。本研究旨在基于一项荟萃分析评估癌症患者的心理社会适应及其影响因素。
系统评价按照系统评价与荟萃分析的首选报告项目（PRISMA）清单进行，并以社会到细胞模型框架为指导。文献检索从建库至2023年12月进行。
本研究纳入14篇文献，总样本量为2922例。纳入的14篇文献中，9篇为英文，5篇为中文，发表时间为1991年至2021年。14篇文献均为横断面研究。根据社会到细胞模型框架，影响因素分为5个层面：社会、社区、家庭、个体和生理。然而，缺乏与细胞层面相关的研究。
癌症患者的心理社会适应受生理、个体、家庭、社区和社会的影响，其中年龄、教育水平、疾病不确定性、希望水平、心理痛苦、自我效能感、社会支持、应对方式（面对、回避、屈服和情绪导向）是影响癌症患者心理社会适应的主要因素。然而，缺乏与细胞层面相关的研究。这可能是因为从个体到社会层面的大多数因素是可干预的，且大多数研究更侧重于这些层面因素的挖掘。然而，生物学基础对疾病的发生发展至关重要，需要护理人员予以关注，未来需加强对此层面的进一步研究。
