癌症患者自我关怀水平相关因素的Meta分析

Factors related to self-compassion among cancer patients:a Meta-analysis

目的系统描述和分析癌症患者自我关怀的相关因素。方法计算机检索PubMed、CINAHL、Embase、Web of Science、Cochrane Library、PsycINFO、中国生物医学文献数据库、中国知网、维普网、万方数据库中有关癌症患者自我关怀相关因素的观察性研究。检索时限为建库至2022年7月。由2名研究者根据纳入与排除标准对检索获得的文献独立进行筛选、资料提取及质量评价。采用Stata 15.1软件进行相关因素的Meta分析。结果共纳入20篇文献。Meta分析结果显示自我关怀与年龄、文化程度、心理弹性呈正相关,与身体形象、焦虑、抑郁、压力呈负相关。癌症患者自我关怀的相关因素包括个体因素(如性别、年龄、文化程度、焦虑、抑郁、依恋类型、身体形象、心理弹性等)、疾病因素(治疗方式)及环境因素(婚姻状态、社会支持、出生地)。结论癌症患者自我关怀的相关因素较多,医护人员可根据相关因素早期识别低水平自我关怀患者并进行干预,促进患者临床结局正向发展。

Objective To systematically describe and analyze the related factors of self-compassion in cancer patients.Methods Observational studies on factors related to self-compassion in cancer patients were retrieved through computer on PubMed,CINAHL,Embase,Web of Science,Cochrane Library,PsycINFO,China Biomedical Literature Database,China National Knowledge Infrastructure,VIP,and WanFang Data.The search period was from the establishment of the database to July 2022.Two researchers independently screened the article,extracted data,and evaluated the quality of the article based on inclusion and exclusion criteria.Meta-analysis of related factors was conducted using Stata 15.1 software.Results A total of 20 articles were included.Meta-analysis results showed that self-compassion was positively correlated with age,education level,and psychological resilience,while negatively correlated with body image,anxiety,depression,and pressure.The related factors for self-compassion in cancer patients included individual factors(such as gender,age,educational level,anxiety,depression,attachment type,body image and psychological resilience),disease factors(treatment methods),and environmental factors(marital status,social support,place of birth).Conclusions There are many factors related to self-compassion in cancer patients.Medical and nursing staff can identify low-level self-compassion patients in the early stage based on related factors and carry out intervention to promote positive clinical outcomes for patients.