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乳腺癌患者的创伤后成长经历:一项定性系统评价与元整合分析

Post-traumatic growth experience of breast cancer patients: A qualitative systematic review and meta-synthesis.

作者信息

Huang ShiNi, Huang Min, Long Fang, Wang Fang

机构信息

Department of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China.

Department of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China.

出版信息

PLoS One. 2025 Jan 23;20(1):e0316108. doi: 10.1371/journal.pone.0316108. eCollection 2025.


DOI:10.1371/journal.pone.0316108
PMID:39847563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11756777/
Abstract

OBJECTIVES: This study aimed to systematically incorporate the post-traumatic growth experience of breast cancer patients and furnish insights for the formulation of targeted psychological care measures. METHODS: The search period we were ranged from establishing the database to February 2024. We systematically searched four Chinese databases and seven English databases. The focus was on collecting qualitative research literature regarding the post-traumatic growth experience of breast cancer patients. Literature was screened and analyzed using Endnote20 software. Quality evaluation was conducted using the authenticity evaluation criteria (2016 edition) recommended by the JBI. The results were synthesized utilizing the meta-integration methodology established by the Joanna Briggs Institute (JBI) and adhered to the reporting standards delineated in the PRISMA checklist, as well as the ENTREQ reporting guidelines. RESULTS: This study encompassed 11 studies, from which 42 themes and 68 sub-themes were extracted. Similar research findings were categorized into 11 new classifications, leading to the formulation of four integrative conclusions: self-reconstruction, enhancement of spirituality and religious beliefs, appreciation of the new philosophy of life, and transformations associated with others. CONCLUSIONS: Medical professionals should possess a precise comprehension of the concept of post-traumatic growth, and actively encourage patients to engage in deliberate rumination, facilitate emotional release, support effective coping strategies, enhance social support systems, foster post-traumatic growth in patients, and promote their overall well-being. TRIAL REGISTRATION: Systematic review registration: CRD42024519850.

摘要

目的:本研究旨在系统纳入乳腺癌患者的创伤后成长经历,并为制定针对性心理护理措施提供见解。 方法:检索时间段为数据库建立至2024年2月。我们系统检索了四个中文数据库和七个英文数据库。重点是收集关于乳腺癌患者创伤后成长经历的定性研究文献。使用Endnote20软件进行文献筛选和分析。采用JBI推荐的真实性评价标准(2016版)进行质量评价。结果运用乔安娜·布里格斯研究所(JBI)建立的元整合方法进行综合,并遵循PRISMA清单中规定的报告标准以及ENTREQ报告指南。 结果:本研究纳入11项研究,从中提取了42个主题和68个子主题。相似的研究结果被归类为11个新的分类,进而形成了四个综合结论:自我重建、精神与宗教信仰增强、对新生活理念的领悟以及与他人相关的转变。 结论:医学专业人员应准确理解创伤后成长的概念,并积极鼓励患者进行深入思考,促进情绪释放,支持有效的应对策略,加强社会支持系统,促进患者的创伤后成长,提升其整体幸福感。 试验注册:系统评价注册:CRD42024519850。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0684/11756777/b75d2fe7f602/pone.0316108.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0684/11756777/b75d2fe7f602/pone.0316108.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0684/11756777/b75d2fe7f602/pone.0316108.g001.jpg

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引用本文的文献

[1]
Couples' experiences of spousal caregiving for women with breast cancer: a frame analysis.

BMC Nurs. 2025-7-1

[2]
How family support alleviates death anxiety in breast cancer patients: the mediating role of meaning in life.

Front Public Health. 2025-4-1

本文引用的文献

[1]
Breast cancer: Epidemiology, risk factors and screening.

Chin J Cancer Res. 2023-12-30

[2]
: Post-traumatic growth experience in Chinese women with breast cancer - A grounded theory study.

Health Care Women Int. 2024

[3]
Post-traumatic growth after cancer: a scoping review of qualitative research.

Support Care Cancer. 2021-11

[4]
Life After Facing Cancer: Posttraumatic Growth, Meaning in Life and Life Satisfaction.

J Clin Psychol Med Settings. 2022-3

[5]
Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.

CA Cancer J Clin. 2021-5

[6]
Cancer as a Source of Posttraumatic Growth: A Brief Review.

Psychiatr Danub. 2020-11

[7]
Emerging From the "Ku:" Fluctuating in Adjusting With Breast Cancer-A Post-Traumatic Growth Theory Situated Within Chinese Culture.

Qual Health Res. 2020-9

[8]
Post-Traumatic Growth in the Early Survival Phase: From Turkish Breast Cancer Survivors' Perspective.

Eur J Breast Health. 2019-12-5

[9]
The relationship between post-traumatic stress and post-traumatic growth in cancer patients and survivors: A systematic review and meta-analysis.

Psychooncology. 2020-1-14

[10]
The role of post-traumatic growth in promoting healthy behavior for couples coping with cancer.

Support Care Cancer. 2018-8-3

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