乳腺癌患者重返工作真实体验的系统评价及Meta整合

Systematic review and Meta-synthesis of the return to work real experience of breast cancer patients

目的系统评价乳腺癌患者重返工作(RTW)体验。方法计算机检索CNKI、万方数据库、中国生物医学文献数据库、Web of Science、ScienceDirect、EBSCO、PubMed关于乳腺癌患者RTW真实体验的质性研究,检索时限为建库至2020年7月。采用"澳大利亚JBI循证卫生保健中心质性研究质量评价标准"进行评价,采用汇集性整合方法对结果进行整合。结果共纳入18篇文献,提炼56个明确的研究结果,将相似结果归纳组合形成8个新的类别,并综合成3个整合结果。整合结果1:自身工作状态和外环境的转变;整合结果2:提高主观能动性,积极寻求适应和发展;整合结果3:珍惜自己,感恩现状,实现个人价值。结论健康照护者应关注乳腺癌患者RTW过程中的身心体验、行为表现及需求等,加大对该人群的评估和管理,构建动态、多学科和针对性的指导方案,积极地鼓励患者RTW,回归生活常态化。

Objective To systematically review the return to work(RTW)experience of breast cancer patients.Methods Qualitative research on the RTW real experience of breast cancer patients were retrieved by computer in China National Knowledge Internet,WanFang Data,China Biology Medicine Literature Database,Web of Science,ScienceDirect,EBSCO and PubMed from database building to July 2020."Joanna Briggs Institute Critical Appraisal Tool for qualitative studies in Australia"was used to evaluation,and the collective synthesis method was used to integrate the result.Results A total of 18 articles were included,and 56 clear research results were refined.The similar results were grouped together to form 8 new categories and integrated into 3 synthesis results.Synthesis result 1 was the transformation of own working status and external environment.Synthesis result 2 was improving subjective initiative,and actively seeking adaptation and development.Synthesis result 3 was cherishing themselves,being grateful for the status quo,and realizing personal value.Conclusions Health care providers should pay attention to the physical and mental experience,behavioral performance and needs of breast cancer patients during the RTW process,and increase the evaluation and management of this population,build a dynamic,multidisciplinary and targeted guidance program,and actively encourage patients to RTW and return to normal life.