乳腺癌患者的心理困扰因素：定性元分析。
Psychological-Distress Factors in Patients With Breast Cancer: A Qualitative Meta-Synthesis.
机构信息
Department of Medical Oncology, Cancer Center, Cancer Day-Care Unit, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Department of Critical Care Medicine, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
出版信息
J Clin Nurs. 2024 Dec;33(12):4843-4859. doi: 10.1111/jocn.17532. Epub 2024 Nov 5.
AIMS
To systematically review and integrate qualitative-research results pertaining to psychological distress in patients with breast cancer and to clarify its causes and drivers.
BACKGROUND
Patients with breast cancer experience psychological distress in the stages of diagnosis, treatment, and rehabilitation, which seriously affects their quality of life. Through comprehensive qualitative research, the study comprehensively describes the experiences of patients with breast cancer to guide medical personnel in taking better care of them.
DESIGN
A systematic review and synthesis of qualitative studies.
METHODS
Qualitative studies were included if they were related to the psychological-distress experiences of patients with breast cancer. The Joanna Briggs Institute Qualitative Assessment and Review Instrument was used to appraise study quality. Data were synthesised using the Thomas and Harden method of thematic and content analysis.
DATA SOURCES
Nine electronic databases (PubMed, Embase, Cochrane Library, CINAL [via EBSCO], and PsycINFO, China Knowledge Resource Integrated Database, Wanfang, Chinese Biomedical, and Weipu) were searched from inception until February 2024.
RESULTS
Thirteen studies were included in the meta-synthesis. Four analytical themes were identified: diagnostic and therapeutic, individual, environmental, and interpersonal factors.
CONCLUSIONS
Psychological distress is a subjective feeling influenced by interactions among individual, therapeutic, environmental, and interpersonal factors, and it is commonly encountered among patients with breast cancer. Therefore, to optimise the management of psychological distress, the characteristics and external environment of patients with breast cancer should be carefully considered when delivering routine nursing care.
IMPACT
Patients experience psychological distress at different stages of breast cancer; however, the causes of psychological distress at different stages differ. Medical staff should implement targeted psychological-distress intervention measures based on factors relevant to different stages.
REPORTING METHOD
The Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement.
REGISTRATION
The protocol of this study has been registered in the database PROSPERO (registration ID: CRD42023417364).
目的
系统回顾和整合与乳腺癌患者心理困扰相关的定性研究结果，阐明其原因和驱动因素。
背景
乳腺癌患者在诊断、治疗和康复阶段会经历心理困扰，这严重影响了他们的生活质量。通过全面的定性研究，本研究全面描述了乳腺癌患者的体验，以指导医务人员更好地照顾他们。
设计
系统回顾和定性研究综合。
方法
如果研究与乳腺癌患者的心理困扰体验有关，则纳入定性研究。使用 Joanna Briggs 研究所定性评估和审查工具评估研究质量。使用托马斯和哈登主题和内容分析方法对数据进行综合。
资料来源
从开始到 2024 年 2 月，在 9 个电子数据库（PubMed、Embase、Cochrane Library、CINAL[通过 EBSCO]、PsycINFO、中国知识资源综合数据库、万方、中国生物医学和维普）中进行了搜索。
结果
共有 13 项研究纳入荟萃分析。确定了四个分析主题：诊断和治疗、个体、环境和人际关系因素。
结论
心理困扰是一种受个体、治疗、环境和人际关系因素相互作用影响的主观感受，在乳腺癌患者中较为常见。因此，为了优化心理困扰的管理，在提供常规护理时，应仔细考虑乳腺癌患者的特征和外部环境。
影响
患者在乳腺癌的不同阶段经历心理困扰；然而，不同阶段心理困扰的原因不同。医务人员应根据与不同阶段相关的因素，实施有针对性的心理困扰干预措施。
报告方法
根据增强定性研究综合报告透明度声明报告。
注册
本研究的方案已在 PROSPERO 数据库中注册（注册号：CRD42023417364）。
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