乳腺癌患者体质量管理体验的Meta整合

Experience of weight management in patients with breast cancer:a qualitative meta-synthesis

目的:系统总结乳腺癌患者体质量管理过程的经历与体验,全面了解患者在体质量管理过程中的困难和需求,为医务工作者及健康管理人员等采取相关措施改善乳腺癌患者体质量管理提供参考依据。方法:检索PubMed、Scopus、Embase、Web of Science、CINAHL、PsycINFO、中国生物医学数据库、中国知网、维普、万方数据库,检索年限为建库至2021年10月。搜集有关乳腺癌患者在体质量管理过程中体验的质性研究文章,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,并用汇集性整合的方法进行整合。结果:共纳入9篇文献,提炼出34个完整明确的研究结果,将相近的研究结果归纳形成9个新类别,得出3个整合结果。①患病对体质量管理的影响;②体质量管理过程中的心路历程;③影响体质量管理的相关因素。结论:体质量增加作为乳腺癌治疗常见的副作用,对乳腺癌患者身心健康造成了负面影响。同时乳腺癌患者体质量管理的需求尚未充分得到满足,医务人员应提高对患者体质量管理的重视,个性化制定相关干预措施。

Objective:To systematically summarize the experience of weight management in patients with breast cancer and comprehensively understand the needs of patients in the process of weight management,so as to provide evidence for better weight management suggestions.Methods:Pubmed、Scopus、Embase、Web of Science、CINAHL、PsycINFO、CBM、CNKI、VIP、Wanfang were retrieved from inception to October 2021.The qualitative researches on weight management in patients with breast cancer were extracted.The quality of included studies was evaluated according to JBI critical appraisal tool for qualitative studies in Australia.The results were integrated by integrating methods.Results:A total of nine studies were included.Thirty-four complete findings were grouped according to similarities and nine new categories were formed.These categories resulted in three synthesized findings.They were effects of illness on weight management,the journey of the weight management process,factors affecting weight management.Conclusion:As a common side effect of breast cancer treatment,weight gain has a negative impact on physical and mental health of patients with breast cancer.Healthcare workers should help patients to make effective decisions according to their own conditions.