肿瘤患者输液港使用真实体验质性研究的Meta整合研究

Real-life experience of implantable venous access ports for cancer patients:a Meta-synthesis of qualitative research

目的分析并总结国内外肿瘤患者使用输液港的真实体验。方法检索Cochrane Library、Embase、CINAHL、PubMed、Web of Science、全球博硕论文数据库(PQDT)学位论文库、中国知网、万方数据库、维普网、中国生物医学文献数据库,截止时间为2023年5月1日。对获得文献审慎评价后,分析并整合携港肿瘤患者真实体验相关主题。结果共纳入13篇文献,其中中文6篇,外文7篇;共提炼出64项研究结果,综合概括为7个类别,并整合为3项结果,即肿瘤患者携港不同阶段需求不同、肿瘤患者携港期间正负性心理随着面临的事件而动态交织、输液港为肿瘤患者带来生活新常态。结论临床护理人员应识别并正视携带输液港的肿瘤患者各个阶段的需求,强化其正性体验,疏导其负性体验,帮助其适应携港生活,提高护理服务质量,提升患者的幸福感。

Objective To analyze and summarize the real-life experiences of cancer patients using infusion ports both domestically and internationally.Methods Literatures were searched in the Cochrane Library,Embase,CINAHL,PubMed,Web of Science,ProQuest Dissertations&Theses Global(PQDT),CNKI,Wanfang Database,VIP,and China Biology Medicine up to May 1,2023.After rigorous evaluation of the retrieved literature,the themes related to the real-life experiences of cancer patients with infusion ports were analyzed and synthesized.Results A total of 13 articles were included,with 6 in Chinese and 7 in English.From these,64 findings were extracted,comprehensively categorized into 7 groups,and further consolidated into 3 main results:diverse needs across different stages of cancer patients with infusion ports,dynamically intertwined positive and negative psychological states in response to encountered events,and the establishment of a new normal in life experiences for cancer patients with infusion ports.Conclusion Clinical nurses should recognize and address the varying needs of cancer patients with implantable venous access ports at different stages,strengthen their positive experiences,alleviate their negative experiences,assist in adapting to life with implantable venous access ports,improve the quality of nursing services,and enhance patients'sense of happiness.