结直肠癌病人体力活动体验质性研究的Meta整合

Physical activity experience of colorectal cancer patients:a Meta-synthesis of qualitative studies

目的:系统评价结直肠癌病人参与体力活动的体验,为制定干预措施提供理论依据。方法:计算机检索PubMed、Embase、Web of Science、CLNAHL、Cochrane Library、中国知网、中国生物医学文献数据库(CBM)、万方和维普等数据库,搜集结直肠癌病人体力活动体验的质性研究,检索年限为建库至2022年8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评价文献质量,采用汇集性整合方法整合结果。结果:共纳入9篇文献,提取出47个研究结果,归纳形成10个类别,得出4个整合结果。整合结果1:结直肠癌病人参与体力活动的促进因素。整合结果2:结直肠癌病人在体力活动中感知困境。整合结果3:结直肠癌病人在体力活动中感知益处。整合结果4:对专业人员制订有监督的个性化方案的需求。结论:医务人员要关注结直肠癌病人体力活动的态度,充分调动病人积极性,及时识别并帮助其克服障碍因素,根据病人躯体症状以及偏好制订个性化运动处方。

Objective:To systematically evaluate the physical activity experience of colorectal cancer patients and provide theoretical basis for the formulation of intervention measures.Methods:Qualitative studies on physical activity experience of patients with colorectal cancer were searched through PubMed,Embase,Web of Science,CLNAHL,Cochrane Library,China National Knowledge Network,China Biomedical Literature Database(CBM),Wanfang and VIP.The retrieval period is from the establishment of the database to August 2022.The quality of literatures was evaluated using the quality evaluation standards of the qualitative researches of Joanna Briggs Institute Evidence-based Health Care Center in Australia,and the results were integrated by the method of collection and integration.Results:A total of 9 articles were included,47 research results were extracted,10 categories were summarized,and 4 integrated results were obtained.Integrated result 1:factors contributing to physical activity participation in colorectal cancer patients.Integrated result 2:perceived dilemmas in physical activity in colorectal cancer patients.Integrated result 3:perceived benefits of physical activity in colorectal cancer patients.Integrated result 4:the need for professionals to develop supervised personalized programs.Conclusions:Medical staff should pay attention to the attitude of physical activity in patients with colorectal cancer,fully mobilize the enthusiasm of patients,timely identify and help them to overcome obstacles,and develop personalized exercise prescriptions according to patients′physical symptoms and preferences.