因癌丧亲者心理体验质性研究的Meta整合

Psychological experience of cancer bereaved:a Meta-synthesis of qualitative research

目的:系统评价因癌丧亲者的心理体验,为丧亲照护及干预提供参考依据。方法:检索PubMed、Embase、Cochrane Library、CINAHL、中国知网、万方数据库、维普数据库及中国生物医学文献数据库中关于因癌丧亲者情绪体验的质性研究,检索时限为建库至2023年7月。采用2020版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进行质量评价,对结果进行Meta整合。结果:共纳入11项研究,提炼出44个研究结果,归纳8个新类别,3个整合结果:丧亲后哀伤情绪具有差异性、哀伤的应对及丧亲后的支持需求。结论:丧亲者的心理体验较为复杂,其哀伤情绪具有差异性,医护人员应关注丧亲者的哀伤反应,引导其自我调适,重视丧亲者的需求并提供相应的社会支持,协助丧亲者早日重返社会。

ObjectiveTo systematically evaluate the psychological experience of cancer bereaved,so as to provide basis for bereavement care and intervention.MethodsQualitative studies on the emotional experiences of cancer bereaved were searched in PubMed,Embase,Cochrane Library,CINAHL,China National Knowledge Infrastructure,WanFang Data,VIP,and China Biomedical Database.The search period was from database establishment to July 2023.The quality evaluation was conducted using the 2020 version of the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center,and the results were integrated using the Meta-synthesis.ResultsA total of 11 studies were included,44 research results were extracted,and 8 new categories and 3 integrated results were summarized,namely the differences in grief emotions after bereavement,grief coping,and support needs after bereavement.ConclusionsThe psychological experience of bereaved is relatively complex,and their grief emotions vary.Medical and nursing staff should pay attention to the grief response of the bereaved,guide them to self-adjustment,attach importance to the needs of the bereaved,and provide social support to assist them in returning to society as soon as possible.