头颈癌患者患病体验及需求质性研究的Meta整合

Experiences and needs of head and neck cancer patients:a meta-synthesis

目的系统评价和整合头颈癌患者患病体验及需求的质性研究,为制定针对性的照护方案提供参考。方法检索PubMed、Web of Science、Embase、Cochrane Library、中国知网、万方数据库、维普科技期刊数据库和中国生物医学文献数据库,搜集建库至2023年2月关于头颈癌患者患病体验及需求的质性研究,采用JBI质性研究质量评价标准对文献质量进行评价,并对结果进行Meta整合。结果共纳入13篇文献,提炼出55个主题,归纳形成10个类别,合成3个整合结果:症状困扰影响患者的心理健康和社会适应,患者经历创伤后成长并采取了一系列应对策略,多元化且未得到充分满足的需求。结论头颈癌患者身心受到严重创伤,为促进患者的创伤后成长,医护人员应该重视患者的患病体验,并以需求为导向制定个性化的延续护理方案。

Objective To systematically evaluate and integrate qualitative research on the experiences and needs of patients with head and neck cancer,and to provide reference for targeted intervention.Methods We searched electronic databases including PubMed,Web of Science,Embase,Cochrane Library,China National Knowledge Infrastructure Database,WanFang,VIP,and Chinese Biomedical Literature Database to retrieve qualitative studies on the experiences and needs of patients with head and neck cancer from the establishment of the database to February 2023.The quality of included studies was evaluated by Joanna Briggs Institute Critical Appraisal Tool for qualitative studies.The meta-aggressive approach was used to integrate the results.Results Thirteen articles met the inclusion criteria.We extracted 55 themes from the included qualitative studies,categorized these themes into 10 categories on the basis of similarity in meaning,and produced three synthesized findings:symptom distress influences patients'mental health and social adjustment;patients experience post-traumatic growth and adopt a range of coping strategies;and diversified and unmet needs.Conclusion Patients with head and neck cancer experience severe physical and psychological trauma.To promote post-traumatic growth in patients,healthcare professionals should focus on patients'illness experiences and develop personalized,needs-based continuing care plans.