乳腺癌患者居家体重管理体验及影响因素的Meta整合

Meta-integration of home weight management experience and influencing factors of breast cancer patients

目的通过系统整合国内外乳腺癌患者体重管理的相关研究,以期全面了解乳腺癌患者在体重管理过程中的体验和影响因素。方法系统检索PubMed、Scopus、Embase、Web of Science、CINAHL、PsycINFO、中国生物医学文献数据库、中国知网、维普、万方数据库中有关乳腺癌患者体重管理过程中体验的质性研究文献,检索时限为建库至2022年5月,对最终纳入的文献进行质量评价,采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心汇集性Meta整合方法进行Meta整合。结果最终纳入文献13篇,提取46个完整明确的研究结果,归纳为11个新类别,构建形成3个整合结果:患癌后体重对心理的多样影响、体重管理效能不足和外界因素的负面影响。结论体重增加对乳腺癌患者身心健康均造成了负面影响,医务人员应提高对乳腺癌患者体重管理的重视,制定个性化干预措施。

Objective To systematically integrate domestic and foreign studies on weight management of breast cancer patients,in order to comprehensively understand the experience and influencing factors of breast cancer patients in the process of weight management.Methods PubMed,Scopus,Embase,Web of Science,CINAHL,PsycINFO,China Biology Medicine disc,CNKI,VIP and Wanfang databases were systematically searched for qualitative research on the experience of breast cancer patients during weight management.The search period was from establishment of the databases to May 2022.The quality of the final included literature was evaluated,and Meta-integration was carried out using the aggregated Meta-integration method of Joanna Briggs Institute Centre for Evidence-based Health Care,Australia.Results Finally,13 literatures were included,46 complete and clear research results were extracted,which were summarized into 11 new categories,and three integrated results were constructed,including multiple effects of weight on psychology after cancer,insufficient weight management effectiveness and negative effects of external factors.Conclusions Weight gain has a negative effect on the physical and mental health of breast cancer patients.Medical staff should pay more attention to the weight management of breast cancer patients and develop personalized interventions.