以质量求发展,以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (2): 51-56.doi: 10.16460/j.issn1008-9969.2022.02.051

• 循证护理 • 上一篇    下一篇

年轻癌症患者生育忧虑心理体验质性研究的Meta整合

张会敏1, 孙晓晨1, 马红梅2   

  1. 1.天津中医药大学 研究生院,天津 301617;
    2.天津市人民医院 科教处,天津 300000
  • 收稿日期:2021-07-16 出版日期:2022-01-25 发布日期:2022-02-15
  • 通讯作者: 马红梅(1969-),女,天津人,硕士,主任护师。E-mail:hongmeima1031@163.com
  • 作者简介:张会敏(1997-),女,山东青州人,本科学历,硕士研究生在读。

Psychological Experience of Reproductive Concerns in Young Cancer Patients:A Qualitative Meta-synthesis

ZHANG Hui-min1, SUN Xiao-chen1, MA Hong-mei2   

  1. 1. Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;
    2. Department of Scientific and Teaching Affairs, Tianjin People's Hospital, Tianjin 300000, China
  • Received:2021-07-16 Online:2022-01-25 Published:2022-02-15

摘要: 目的 系统整合年轻癌症患者生育忧虑心理体验的质性研究,为医护人员降低年轻癌症患者生育忧虑,制定针对性的干预方案提供循证依据。方法 计算机检索从建库至2021年2月28日在中国知网、维普、万方数据库、PubMed、Web of Science、Cochrane Library、Embase数据库中收录的关于年轻癌症患者生育忧虑心理体验的质性研究。采用澳大利亚循证卫生保健中心质性研究质量评价标准评价文献质量,采用Meta整合的方法进行结果整合。结果 共纳入9篇文献,归纳成7个类别,并综合成3个整合结果。年轻癌症患者生育忧虑的多重表现;年轻癌症患者减轻生育忧虑所需的健康支持;年轻癌症患者生育忧虑相关心理负担体验和积极应对策略。结论 年轻癌症患者常伴有不同程度的生育忧虑,医疗专业人员应重视年轻癌症患者生育忧虑问题,强化其家庭社会支持系统,建立生育信息支持系统,满足年轻癌症患者的健康需求,并鼓励其积极应对生育忧虑。

关键词: 癌症, 生育忧虑, 心理体验, 质性研究, Meta整合

Abstract: Objective To systematically integrate the qualitative research on psychological experience of reproductive concerns in young cancer patients, to provide evidence-based reference for medical staff to reduce young cancer patients' reproductive concerns and formulate targeted intervention programs. Methods We searched the databases of CNKI, VIP, WanFang, PubMed, Web of Science, Cochrane Library, and Embase from the inception to February 28, 2021, to collect qualitative researches on psychological experience of reproductive concerns in young cancer patients. The JBI critical appraisal tool for qualitative studies in Australia was used to evaluate the quality of studies and the results were synthesized. Results Nine articles were included, which were summarized into seven categories and integrated into three results: multiple manifestations; health support to alleviate reproductive concerns; psychological burden experience and active coping strategies. Conclusion Young cancer patients are often accompanied by reproductive concerns of varying degrees. Medical professionals should pay attention to the reproductive concerns of young cancer patients, strengthen their family social support system and establish a reproductive information support system, so as to meet the health needs of young cancer patients, and encourage them to actively cope with reproductive concerns.

Key words: cancer, reproductive concerns, psychological experience, qualitative research, Meta-synthesis

中图分类号: 

  • R47
[1] 安晓辉,赵文婷,张越,等. 年轻乳腺癌患者生育忧虑的研究进展[J]. 中华现代护理杂志,2020,26(7):972-976. DOI:10.3760/cma.j.issn.1674-2907.2020.07.027.
[2] 乔婷婷. 癌症后生育忧虑量表的汉化及其初步应用[D]. 郑州:郑州大学,2017.
[3] 康婷婷,郑蔚,刘梦丽,等. 康复期年轻女性乳腺癌患者生育忧虑现状及其对生命质量的影响[J]. 中国慢性病预防与控制,2021,29(5):387-390.DOI:10.16386/j.cjpccd.issn.1004-6194.2021.05.015.
[4] Ljungman L, Eriksson LE, Flynn KE, et al.Sexual Dysfunction and Reproductive Concerns in Young Men Diagnosed With Testicular Cancer: An Observational Study[J]. J Sex Med, 2019, 16(7):1049-1059. DOI:10.1016/j.jsxm.2019.05.005.
[5] Paluch-Shimon S, Cardoso F, Partridge AH,et al.ESO-ESMO 4th International Consensus Guidelines for Breast Cancer in Young Women (BCY4)[J]. Ann Oncol,202,31(6):674-696.DOI:10.1016/j.annonc.2020.03.284.
[6] Siegel RL, Miller KD, Jemal A.Cancer statistics, 2018[J]. CA, 2018, 68(1):7-30. DOI:10.3322/caac.21442.
[7] Benedict C, Thom B, Kelvin JF.Fertility Preservation and Cancer: Challenges for Adolescent and Young Adult Patients[J].Curr Opin Support Palliat Care,2016,10(1):87-94. DOI:10.1097/SPC.0000000000000185.
[8] 王闪闪. 育龄期宫颈癌患者生育忧虑的现状及影响因素分析[D]. 郑州:郑州大学,2020.
[9] Gorman JR, Su HI, Pierce JP, et al.A Multidimensional Scale to Measure the Reproductive Concerns of Young Adult Female Cancer Survivors[J]. J Cancer Surviv, 2014, 8(2):218-228. DOI:10.1007/s11764-013-0333-3.
[10] Drizin JH, Whitcomb BW, Hsieh TC, et al.Higher Reproductive Concerns Associated with Fertility Consultation: A Cross-sectional Study of Young Adult Male Cancer Survivors[J]. Support Care Cancer,2021,29(2):741-750. DOI:10.1007/s00520-020-05527-5.
[11] Young K, Shliakhtsitsava K, Natarajan L, et al.Fertility Counseling Before Cancer Treatment and Subsequent Reproductive Concerns Among Female Adolescent and Young Adult Cancer Survivors[J]. Cancer, 2019, 125(6):980-989. DOI:10.1002/cncr.31862.
[12] Benedict C, Thom B, N Friedman D, et al. Young Adult Female Cancer Survivors’ Unmet Information Needs and Reproductive Concerns Contribute to Decisional Conflict Regarding Posttreatment Fertility Preservation[J]. Cancer, 2016, 122(13):2101-2109. DOI:10.1002/cncr.29917.
[13] 胡雁. 循证护理学[M].北京:人民卫生出版社,2018.
[14] 葛婧,孙彩霞,杨金芝,等. 年轻女性甲状腺癌患者生育压力体验的质性研究[J].齐齐哈尔医学院学报,2018,39(12):1482-1484. DOI:10.3969/j.issn.1002-1256.2018.12.054.
[15] 汤琳,孟爱凤,智晓旭,等. 青年女性甲状腺癌患者生育忧虑的质性研究[J]. 医药高职教育与现代护理,2020,3(3):195-199. DOI:10.3969/j.issn.2096-501X.2020.03.013.
[16] 王小媛,王燕,庞建美,等. 育龄期乳腺癌患者生育忧虑体验的质性研究[J].护士进修杂志,2021,36(4):329-332;338. DOI:10.16821/j.cnki.hsjx.2021.04.005.
[17] Jardim FA, Lopes-Júnior LC, Nascimento LC, et al.Fertility-related Concerns and Uncertainties in Adolescent and Young Adult Childhood Cancer Survivors[J]. J Adolesc Young Adult Oncol, 2021,10(1):85-91. DOI:10.1089/jayao.2020.0058.
[18] Newton K, Howard A F, Thorne S, et al.Facing the Unknown: Uncertain Fertility in Young Adult Survivors of Childhood Cancer[J]. J Cancer Surviv, 2021, 15(16):54-65.DOI:10.1007/s11764-020-00910-x.
[19] Benedict C, Shuk E, Ford JS.Fertility Issues in Adolescent and Young Adult Cancer Survivors[J]. J Adolesc Young Adult Oncol, 2016, 5(1):48-57. DOI:10.1089/jayao.2015.0024.
[20] Corney R, Puthussery S, Swinglehurst J.The Stressors and Vulnerabilities of Young Single Childless Women with Breast Cancer: A Qualitative Study[J]. Eur J Oncol Nurs, 2014, 18(1):17-22. DOI:10.1016/j.ejon.2013.10.003.
[21] Ghaemi SZ, Keshavarz Z, Tahmasebi S, et al.Conflicts Women with Breast Cancer Face with: A Qualitative Study[J]. J Family Med Prim Care, 2019, 8(1):27-36.DOI:10.4103/jfmpc.jfmpc_272_18.
[22] Gorman JR, Bailey S, Pierce JP, et al.How do You Feel About Fertility and Parenthood? The Voices of Young Female Cancer Survivors[J]. J Cancer Surviv, 2012, 6(2):200-209.DOI:10.1007/s11764-011-0211-9.
[23] Lambertini M, Goldrat O, Toss A, et al.Fertility and Pregnancy Issues in BRCA -mutated Breast Cancer Patients[J]. Cancer Treat Rev,2017(59):61-70.DOI:10.1016/j.ctrv.2017.07.001.
[24] 乔婷婷,陈丹丹,郑蔚,等.年轻女性癌症患者生育忧虑现状及其影响因素分析[J].现代预防医学,2017,44(1):64-68.
[25] 王闪闪. 育龄期宫颈癌患者生育忧虑的现状及影响因素分析[D]. 郑州:郑州大学,2020.
[26] Drizin JH, Whitcomb BW, Hsieh TC,et al.Higher Reproductive Concerns Associated with Fertility Consultation: A Cross-sectional Study of Young Adult Male Cancer Survivors[J]. Support Care Cancer,2021,29(2):741-750.DOI:10.1007/s00520-020-05527-5.
[27] Louwé LA, Stiggelbout AM, Overbeek A, et al.Factors Associated with Frequency of Discussion of or Referral for Counselling about Fertility Issues in Female Cancer Patients[J].Eur J Cancer Care (Engl),2018,27(1):1-8.DOI:10.1111/ecc.12602.
[28] 周荣,刘喜文,程颖.癌症患者住院放化疗期生存质量与家庭功能的调查分析[J]. 护理学报,2016,23(2):31-35. DOI:10.16460/j.issn1008-9969.2016.02.031.
[29] 梁赛,谌永毅,许湘华,等. 头颈部肿瘤患者生存质量与应对方式及社会支持的相关性研究[J]. 护理学报,2017,24(10):62-66. DOI:10.16460/j.issn1008-9969.2017.10.062.
[30] 刘琼芬,杨晓娟,缪云仙,等. 育龄甲状腺癌女性生育需求现状调查[J]. 当代护士(上旬刊), 2020, 27(11):35-37. DOI:10.19791/j.cnki.1006-6411.2020.31.013.
[31] 葛婧. 年轻甲状腺癌女性病人生育知识调查研究[J]. 全科护理,2017,15(21):2671-2673. DOI:10.3969/j.issn.1674-4748.2017.21.052.
[1] 张涌静, 申华平, 郭庆峰, 王娟. 置入PICC并带管出院癌症患者基于mHealth技术延续护理的效果观察[J]. 护理学报, 2022, 29(9): 68-72.
[2] 刘慧, 郭丽蕊, 陈秋香, 刘春英, 贺娟凤, 吴小佳. 急性脑卒中患者入院时迁移应激的现象学研究[J]. 护理学报, 2022, 29(8): 75-78.
[3] 朱金凤, 方莹莹, 王芳, 袁萍, 陈璐. 脑卒中幸存者运动依从性影响因素质性研究的Meta整合[J]. 护理学报, 2022, 29(8): 7-13.
[4] 田云伟, 李善玲, 田文雯, 李维果, 邵琴. 护理人员接近失误事件认知的质性研究[J]. 护理学报, 2022, 29(7): 32-35.
[5] 孙海燕, 秦阳, 徐益荣, 陈文艳. 癌症患者及其配偶二元应对与心理弹性的主体-客体互倚模型研究[J]. 护理学报, 2022, 29(6): 60-64.
[6] 张慧超, 王楠楠, 张玉玺. 安宁疗护护士情感劳动经历质性研究的Meta整合[J]. 护理学报, 2022, 29(6): 37-43.
[7] 付艳芬, 王春青, 胡雁. 证据临床转化中障碍因素和促进因素的内容分析[J]. 护理学报, 2022, 29(5): 64-68.
[8] 钱湛, 杨晓婷, 耿可, 林觐民. 失独父母生活体验质性研究的Meta整合[J]. 护理学报, 2022, 29(5): 57-63.
[9] 吕静敏, 柳家贤, 李柳锦, 宋亚兰. 肿瘤科护士对灵性照护认知及实施态度的质性研究[J]. 护理学报, 2022, 29(4): 69-73.
[10] 李丹, 冯兰棱, 樊落, 李琳, 朱伟, 郝雅茹. 护士对患者死亡认知与体验质性研究的Meta整合[J]. 护理学报, 2022, 29(4): 34-39.
[11] 张营, 孟英涛, 尚美美, 杨德艳, 朱玉方, 王倩. 癌症相关认知功能障碍评估和管理的证据总结[J]. 护理学报, 2022, 29(3): 52-56.
[12] 高元芝, 梅光海, 范小艳, 马硕. 艾滋病患者污名化体验质性研究的Meta整合[J]. 护理学报, 2022, 29(10): 47-53.
[13] 贾冠华, 桑文凤, 张全英, 赵佳, 孙传会, 靳露. 先天性心脏病患者成年后真实体验质性研究的Meta整合[J]. 护理学报, 2022, 29(10): 60-66.
[14] 肖红梅, 李策, 冷敏敏, 王志稳. 居家失智患者照护者获益感的质性研究[J]. 护理学报, 2022, 29(10): 1-4.
[15] 郭晓东, 贾亚南, 王爱花, 高峰. 海关口岸新型冠状病毒生物样本采集护士心理体验的质性研究[J]. 护理学报, 2022, 29(1): 74-78.
Viewed
Full text


Abstract

Cited

  Shared   
[1] 曾友燕,徐燕,储静,顾申. 护理专业课程实行主讲教师负责制的教学实践与效果分析[J]. 护理学报, 2012, 19(1): 29 -31 .
[2] 谢红燕,杨淑玲. 新型固定沙袋的制作[J]. 护理学报, 2012, 19(1): 31 .
[3] 汪洋,宋艳玲. 消毒供应中心区域一体式管理控制医院感染的实践[J]. 护理学报, 2012, 19(1): 39 -41 .
[4] 马婕,魏建华,白茹,雍琪. 1例重度卢德维氏咽峡炎患者的护理[J]. 护理学报, 2012, 19(1): 51 -52 .
[5] 刘萍,雷震,杨丽琴,贾晋莉. 妇科腹腔镜术中使用周期性充气压力泵预防深静脉血栓的观察[J]. 护理学报, 2012, 19(1): 53 -55 .
[6] 揭小燕. A型肉毒毒素注射治疗患者的护理[J]. 护理学报, 2012, 19(1): 65 -66 .
[7] 胡亚妮,林平,钟远,张金丽. 经皮冠状动脉介入术后患者自我管理知识水平调查研究[J]. 护理学报, 2012, 19(1): 12 -15 .
[8] 李绵利,林绍彬,郑国华. 福州市394名社区居民中医生活起居护理知晓情况及影响因素分析[J]. 护理学报, 2012, 19(1): 20 -22 .
[9] 张瑞红,董秀娟,吴超,郝丽,邵敬会,马会娜. 社区干预对农村脑卒中患者日常生活能力和生活满意度的影响[J]. 护理学报, 2012, 19(1): 67 -70 .
[10] 朱佩芳,周卫国,李冬梅,陈玲. 上海市浦东新区社区卫生服务中心住院医疗资源利用现状分析[J]. 护理学报, 2012, 19(1): 70 -72 .