青少年癌症幸存者重返校园体验质性研究的Meta整合

doi:10.16460/j.issn1008-9969.2023.19.056

摘要/Abstract

摘要： 目的系统评价与整合青少年癌症幸存者重返校园的真实体验,为促进该人群重返校园和建立支持体系提供参考。方法计算机检索PubMed、Web of Science、The Cochrane Library、CINAHL、Embase、Scopus、中国知网、万方、维普和中国生物医学文献数据库中关于青少年癌症幸存者重返校园体验的质性研究,检索时限均从建库至2023年3月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准进行方法学质量评价,采用汇集性整合方法进行结果整合,运用ConQual评级对整合结果进行可靠性和可信度分析,遵循提高质性研究综合报告透明度指南撰写文章。结果共11项研究被纳入,提取出66个研究结果、9个类别,归纳形成3个整合结果：重返校园后的多重感受与困境;对外界多方支持的期待与感知;重建并适应癌症后全新的生活。结论青少年癌症幸存者重返校园后存在多种感受与困境,期待获得恰当的外界支持,需重视青少年癌症幸存者返校后的需求,建立医院-学校-家庭联动支持体系,以帮助其顺利回归校园生活。

关键词: 青少年, 癌症, 重返校园, 体验, 质性研究, 系统评价, Meta整合

中图分类号:

R473.73

董岩, 朱思颖, 王虹, 范甜甜, 黎玉梅, 韩媛. 青少年癌症幸存者重返校园体验质性研究的Meta整合[J]. 护理学报, 2023, 30(19): 56-61.

参考文献

[1] Ni X, Li Z, Li X, et al.Socioeconomic inequalities in cancer incidence and access to health services among children and adolescents in China: a cross-sectional study[J]. Lancet,2022,400(10357):1020-1032. DOI:10.1016/S0140-6736(22)01541-0.
[2] GBD 2017 Childhood Cancer Collaborators. The global burden of childhood and adolescent cancer in 2017: an analysis of the Global Burden of Disease Study 2017[J].BD 2017 Childhood Cancer Collaborators. The global burden of childhood and adolescent cancer in 2017: an analysis of the Global Burden of Disease Study 2017[J]. Lancet Oncol, 2019, 20(9):1211-1225. DOI:10.1016/S1470-2045(19)30339-0.
[3] Ichikawa CRF, Szylit R, Cunha MLDR, et al.Transition from disease to survival: accounts of adolescents who have experienced cancer[J]. Rev Lat Am Enfermagem,2022,30(spe):e3846. DOI:10.1590/1518-8345.6302.3846.
[4] 唐涵,尚磊.青少年癌症患者家庭照护者健康素养的研究进展[J].护理学报,2023,30(10):31-34.DOI:10.16460/j.issn1008-9969.2023.10.031.
[5] 刘文崇,程方方,尚美美,等.儿童肿瘤幸存者重返校园研究进展[J].军事护理,2022,39(10):21-24. DOI:10.3969/j.issn.2097-1826.2022.10.006.
[6] Lea S, Martins A, Fern L A, et al.The support and information needs of adolescents and young adults with cancer when active treatment ends[J]. BMC Cancer,2020,20(1):697. DOI:10.1186/s12885-020-07197-2.
[7] Tong A, Flemming K, Mcinnes E, et al.Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ[J]. BMC Med Res Methodol,2012,12:181. DOI:10.1186/1471-2288-12-181.
[8] Lockwood C, Porrit K, Munn Z, et al.Chapter 2: systematic reviews of qualitative evidence[EB/OL]. [2023-03-30].https://synthesismanual.jbi.global.
[9] Sawyer SM, Azzopardi PS, Wickremarathne D, et al.The age of adolescence[J]. Lancet Child Adolesc Health,2018,2(3):223-228. DOI:10.1016/S2352-4642(18)30022-1.
[10] 胡雁,彭健.我国质性研究系统评价和Meta整合论文的质量评价[J].中国护理管理,2020,20(4):490-495.
[11] Munn Z, Porritt K, Lockwood C, et al.Establishing confidence in the output of qualitative research synthesis: the ConQual approach[J]. BMC Med Res Methodol, 2014,14:108. DOI:10.1186/1471-2288-14-108.
[12] Glasson JE.A descriptive and exploratory pilot study into school re-entrance for adolescents who have received treatment for cancer[J]. J Adv Nurs,1995,22(4):753-758. DOI:10.1046/j.1365-2648.1995.22040753.x.
[13] Bruce BS, Chapman A, Macdonald A, et al.School experiences of families of children with brain tumors[J]. J Pediatr Oncol Nurs,2008,25(6):331-339.DOI:10.1177/1043454208323619.
[14] Mcloone JK, Wakefield CE, Butow P, et al.Returning to school after adolescent cancer: a qualitative examination of australian survivors' and their families' perspectives[J]. J Adolesc Young Adult Oncol,2011,1(2):87-94.DOI:10.1089/jayao.2011.0006.
[15] Chen CM, Hsu BH, Chen YC, et al.Meshing gears: mothers and their adolescents returning to their social life after cancer treatment in Taiwan[J]. J Pediatr Oncol Nurs,2015,32(4):219-229. DOI:10.1177/1043454214563402.
[16] Choquette A, Rennick JE, Lee V.Back to school after cancer treatment[J]. Cancer Nurs, 2016,39(5):393-401. DOI:10.1097/NCC.0000000000000301.
[17] Walker AJ, Lewis FM, Lin Y, et al.Trying to feel normal again: early survivorship for adolescent cancer survivors[J]. Cancer Nurs,2019,42(4):E11-E21.DOI:10.1097/NCC.0000000000000629.
[18] An H, Lee S.Difficulty in returning to school among adolescent leukemia survivors: a qualitative descriptive study[J]. Eur J Oncol Nurs,2019,38:70-75. DOI:10.1016/j.ejon.2018.12.008.
[19] Pini S, Gardner P, Hugh-Jones S.How and why school is important to teenagers with cancer: outcomes from a photo-elicitation study[J]. J Adolesc Young Adult Oncol,2019,8(2):157-164. DOI:10.1089/jayao.2018.0068.
[20] Magrath CM, Critoph DJ, Smith LAM, et al.“A different person entirely”: adolescent and young adults' experiences returning to education after cancer treatment[J]. J Adolesc Young Adult Oncol,2021, 10(5):562-572.DOI:10.1089/jayao.2020.0168.
[21] 曾庆威,罗梦娜,王菲菲,等.青少年癌症幸存者重返校园体验与期待的质性研究[J].解放军护理杂志, 2021,38(12):46-48;56. DOI:10.3969/j.issn.1008-9993.2021.12.012.
[22] Greenzang KA, Fasciano KM, Block SD, et al.Early information needs of adolescents and young adults about late effects of cancer treatment[J]. Cancer,2020,126(14):3281-3288. DOI:10.1002/cncr.32932.
[23] Langer T, Grabow D, Steinmann D, et al.Late effects and long-term follow-up after cancer in childhood[J]. Oncol Res Treat,2017,40(12):746-750. DOI:10.1159/000484936.
[24] Stavinoha PL, Trinh-Wong T, Rodriguez LN, et al.Educational pain points for pediatric brain tumor survivors: review of risks and remedies[J]. Children (Basel),2021,8(12):1125. DOI:10.3390/children8121125.
[25] Hooke MC, Linder LA.Symptoms in children receiving treatment for cancer-part i: fatigue, sleep disturbance, and nausea/vomiting[J]. J Pediatr Oncol Nurs,2019,36(4):244-261. DOI:10.1177/1043454219849576.
[26] Melesse TG, Chau J, Nan MA.Effects of cognitive-behavioural therapy on psychological, physical and social outcomes of children with cancer: a systematic review and Meta-analysis[J].J Psychosom Res,2022,157:110805. DOI:10.1016/j.jpsychores.2022.110805.
[27] Sihvola S, Kuosmanen L, Kvist T.Resilience and related factors in colorectal cancer patients: a systematic review[J]. Eur J Oncol Nurs,2022,56:102079.DOI:10.1016/j.ejon.2021.102079.
[28] Grandinette S.Supporting students with brain tumors in obtaining school intervention services: the clinician's role from an educator's perspective[J]. J Pediatr Rehabil Med,2014,7(4):307-321. DOI:10.3233/PRM-140301.
[29] Greenzang KA, Fasciano KM, Block SD, et al.Early information needs of adolescents and young adults about late effects of cancer treatment[J]. Cancer,2020,126(14):3281-3288. DOI:10.1002/cncr.32932.
[30] Delloso S, Gannoni A, Roberts RM.Maintaining schooling for children with cancer during and post treatment: parents' perspectives of a theory-based program[J]. Continuity in Education,2021,2(1):26-41. DOI:10.5334/cie.24.
[31] 解文君,张帅,刘毅等.领悟社会支持及应对方式在恶性血液病行造血干细胞移植患者心理弹性与创伤后成长间的中介效应[J].护理学报,2019, 26(3):73-78. DOI:10.16460/j.issn1008-9969.2019.03.073.
[32] Kim Y, Ritt-Olson A, Tobin J, et al.Beyond depression: correlates of well-being in young adult survivors of childhood cancers[J].J Cancer Surviv,2022.DOI:10.1007/s11764-022-01186-z.
[33] Turner J K, Hutchinson A, Wilson C.Correlates of post-traumatic growth following childhood and adolescent cancer: a systematic review and Meta-analysis[J]. Psychooncology,2018,27(4):1100-1109. DOI:10.1002/pon.4577.

Metrics

Viewed

Full text

Abstract

Cited

Shared