癌症患者经济负担真实体验研究的Meta整合

doi:10.3761/j.issn.1672-9234.2024.04.019

摘要/Abstract

摘要：

目的系统评价癌症患者经济负担真实体验的研究，为更好地开展临床护理实践提供依据。方法系统检索the Cochrane Library、PubMed、Web of Science、CINAHL、Embase、Scopus、中国知网、万方数据库、中国生物医学文献数据库、维普数据库。搜索关于癌症患者对经济负担真实体验的研究，检索时限从建库至2023年3月20日。使用2016版JBI循证卫生保健中心质性研究质量评价标准对纳入文献进行质量评价，运用Meta整合方法对研究结果进行整合。结果共纳入10篇研究，质量等级均为B级。提炼出42个研究结果，将相似结果归纳组合形成8个新的类别，并整合为3个结果：癌症患者存在复杂的情绪体验及应对方式；癌症患者应对经济负担过程困难重重；癌症患者社会支持不足，渴望得到外界支持与帮助。结论医务人员需重视癌症患者经历经济负担的体验，并结合我国国情、不同地区的卫生保健环境差异，以患者需求为导向，探讨减轻经济负担的系统策略，以提升癌症患者的治疗效果及生活质量。

关键词: 癌症, 经济毒性, 体验, Meta整合

Abstract:

Objective To systematically review the qualitative research on coping strategies and real experience of cancer patients with economic toxicity，so as to provide a basis for better clinical nursing practice. Methods The Cochrane Library，PubMed，Web of Science，CINAHL，Embase，Scopus，CNKI，Wanfang Database，China Biology Medicine Disc，VIP database were searched. Qualitative studies on the coping strategies and real experience of cancer patients with economic toxicity were retrieved. The search time limit was from the establishment of the database to March 20，2023. The quality of the included literature was evaluated using the 2016 JBI Evidence-based Health Care Center Qualitative Research Quality evaluation criteria，and the research results were integrated using the Meta synthesis method. Results A total of ten studies were included，all quality grade of which were graded B. Forty-two pieces of results were extracted，and the similar results were summarized and combined into eight new categories，which were integrated into three new results，including cancer patients have complex emotional experience and coping styles，cancer patients have difficulty coping with the economic toxicity，and cancer patients lack social support and are eager to get outside support and help. Conclusion Medical staffs should pay more attention to the feelings and experiences of cancer patients experiencing economic toxicity. Based on the needs of patients，it is necessary to combine the national conditions of China and the health care environment in different regions to explore systematic strategies for the prevention and treatment of economic toxicity，so as to improve the treatment effect and quality of life of cancer patients.

Key words: Cancer, Economic toxicity, Experience, Meta synthesis

熊仪, 张六一, 王利纯, 胡琦琦, 王丽. 癌症患者经济负担真实体验研究的Meta整合[J]. 中华护理教育, 2024, 21(4): 498-505.

XIONG Yi, ZHANG Liuyi, WANG Lichun, HU Qiqi, WANG Li. Real experience of economic toxicity in cancer patients：a qualitative meta-synthesis[J]. Chinese Journal of Nursing Education, 2024, 21(4): 498-505.

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