癌症患者经济毒性体验质性研究的Meta整合

Experience of financial toxicity in cancer patients:a Meta-synthesis of qualitative researches

目的系统整合癌症患者经济毒性体验的质性研究,为制订癌症患者经济毒性干预策略提供参考。方法检索Web ofScience、PubMed、Embase、CochraneLibrary、中国知网、维普网、万方数据库、中国生物医学文献数据库,检索时限为建库至2023年8月31日,筛选癌症患者经济毒性体验相关的质性研究。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准对纳入文献进行质量评价,采用汇集性整合法对结果进行整合。结果共纳入12篇文献,提取出68个研究结果,归纳为15个新的类别,最后得到4个整合结果,包括财务困境下的不安与压力;困境中依托家人,重新出发;治疗与生活共舞,谱写新篇;对未来的极大期许。结论重视癌症患者的经济毒性问题,积极寻找应对策略,为癌症患者带来更多福祉。

Objectivee To systematically integrate qualitative researches on the financial toxicity experience of cancer patients,so as to provide reference for formulating intervention strategies for financial toxicity in cancer patients.Methods Qualitative studies on financial toxicity experience of cancer patients were searched in Web of Science,PubMed,Embase,Cochrane Library,China National Knowledge Infrastructure,VIP,Wanfang data,and China Biology Medicine disc,with a search period from database establishment to August 31,2023.The quality of the included literature was evaluated using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence Based Health Care Center in Australia.The aggregation integration method was used to integrate the results.Results A total of 12 articles were included,and 68 research results were extracted and categorized into 15 new categories.Four integrated results were obtained,including anxiety and stress under financial difficulties,relying on family members to start a new in adversity,and dancing together with treatment and life to write a new article,and great expectations for the future.Conclusions Pay attention to the financial toxicity of cancer patients,actively seek response strategies,and bring benefits to cancer patients.