女性乳腺癌患者经济毒性体验质性研究的Meta整合

A Meta-synthesis of qualitative studies on financial toxicity experience in female breast cancer patients

目的通过系统地整合质性研究,全面描述乳腺癌患者的经济毒性体验。方法检索从建库至2023年4月PubMed、Web of Science、PsycINFO、CINAHL、Embase、Cochrane Library、EBSCO、中国知网、维普网、万方数据知识服务平台和中国生物医学文献服务系统中关于乳腺癌患者经济毒性体验的质性研究文献。采用统一标准对纳入的文献进行质量评价,通过汇集性整合法整合文献结果。结果共纳入11篇文献,最终提炼出41个研究结果,归纳为9个类别,汇总成3个整合结果:经济毒性对患者及家庭成员的影响;调整自我应对经济毒性并实现角色成长;应对经济毒性的需求与期望。结论医护人员应重视乳腺癌患者及家属在治疗期间承受的经济负担和心理压力,实施积极心理护理干预,医院应搭建专门的社会救助渠道,社会保障部门应完善相关医疗保险政策,从多个层面减轻患者的经济毒性问题。

Objective To comprehensively describe the experience of economic toxicity in breast cancer patients by systematically integrating qualitative studies.Methods Search the qualitative research literature on the economic toxicity experience of breast cancer patients from the PubMed,Web of Science,PsycINFQ,CINAHL,Embase,Cochrane Library,EBSCO,China National Knowledge Infratructure,Vip Network,Wanfang Patent Database and SinoMed from the warehouse until April 2023.Unified criteria were evaluated for the quality of the included literature,and the literature results were integrated by the pooled integration method.Results A total of 11 articles were included,and 41 research results were summarized into 9 categories into 3 integrated results:the impact of economic toxicity on patients and families;adjust self-response to economic toxicity and achieve role growth;the needs and expectations for economic toxicity.Conclusions Medical staff should pay attention to the economic burden and psychological pressure borne by breast cancer patients and their families during treatment,implement active psychological nursing intervention.Hospitals should build special social assistance channels,and social security departments should improve relevant medical insurance policies to reduce the economic toxicity of patients from multiple levels.