儿童癌症青少年及年轻成人幸存者生活体验质性研究的Meta整合

Meta synthesis of qualitative research of life experience in adolescent and young adult survivors of childhood cancer

目的系统整合儿童癌症青少年及年轻成人幸存者的生活体验。方法计算机检索PubMed、Embase、CINAHL、Web of Science、中国生物医学文献数据库、中国知网、维普网、万方数据库中儿童癌症青少年及年轻成人幸存者生活体验的质性研究,检索时限为建库至2022年6月30日。采用澳大利亚循证卫生保健中心质性研究质量评价标准对文献质量进行评价。采用Meta整合方法对结果进行整合。结果共纳入11篇文献,提炼出8个类别,归纳为3个整合结果:癌症经历使生活常态发生改变、调适并在应对中成长、相关需求与支持。结论癌症经历给儿童癌症青少年及年轻成人幸存者造成巨大的心理负担。医疗照护人员及社会应关注这一群体,给予连续性医疗照护和心理干预,强化患者的家庭和社会支持系统,促进其融入社会,从而提高患者的生活质量。

Objective To systematically integrate the life experience of adolescent and young adult survivors of childhood cancer.Methods Qualitative research of life experience in adolescent and young adult survivors of childhood cancer were searched through PubMed,Embase,CINAHL,Web of Science,China Biomedical Literature Database,China National Knowledge Infrastructure,VIP,and Wanfang Data.The search time limit was from the establishment of each database to June 30,2022.The quality of articles was evaluated using the Australian Centre for Evidence-Based Health Care Qualitative Research Quality Evaluation Criteria.Meta synthesis method was used to integrate results.Results A total of 11 articles were included,8 categories were formed and 3 synthesis results were integrated,namely life-normal changes resulting from cancer experiences,adaption and growth in coping,relevant needs and support.Conclusions Cancer experience has caused huge psychological burden on adolescent and young adult survivors of childhood cancer.Medical staff and society should pay attention to this special group,provide continuous medical care and psychological intervention,strengthen patients'family and social support system,promote their integration into society,improve their quality of life.