护理学报 ›› 2024, Vol. 31 ›› Issue (16): 56-61.doi: 10.16460/j.issn1008-9969.2024.16.056
医护人员对癌症患者病情披露心理体验的Meta整合
潘靖达1a, 董燕燕1b, 何家欣2, 刘红利1c, 林穗仪1d, 于红静1b, 潘珊1a, 李佳佳3, 凌冬兰1b
- 1.广州医科大学附属第二医院 a.肿瘤科;b.护理部;c.呼吸与危重症医学科;d.肝胆外科,广东 广州 510260;
2.香港理工大学 护理学院,中国 香港 0000;
3.广州医科大学附属市八医院 感染门诊,广东 广州 510180
摘要： 目的 系统评价与整合医护人员告知癌症患者真实病情时心理体验的质性研究,为医护人员制订全面且有针对性的癌症病情告知策略提供参考。方法 检索中国知网、万方数据库、中国生物医学数据库、中华医学期刊全文数据库、PubMed、EBSCOhost、Embase、The Cochrane Library、John Wiley、PsycINFO数据库中关于医护人员癌症披露心理体验的质性研究,检索时限为建库至2023年8月。使用澳大利亚JBI循证卫生保健中心质性研究质量评价标准（2016）评价文献质量并采用Meta整合方法对结果进行整合。结果 共纳入15篇文献,提炼出20个结果,归纳为8个类别,3个整合结果：癌症病情披露的情绪体验;癌症病情披露的障碍因素;癌症病情披露的策略。结论 医护人员在癌症病情披露时存在诸多阻碍,如缺乏癌症披露的条件、患者自主权意识薄弱、语言沟通障碍等,其心理体验复杂多样,既有帮助患者的积极情绪,也存在着职业上的道德困扰及对患者得知真相后的担忧等。需关注医护人员癌症病情披露的真实感受,加强医护合作,为医护人员提供良好的癌症病情披露组织环境以及社会支持,帮助其自我调适。
中图分类号:
- R473.73
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