ISSN 2097-6054(网络) ISSN 1672-9234(印刷) CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
收录:中国科学引文数据库(CSCD)来源期刊
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乳腺癌患者一级亲属癌症风险感知质性研究的Meta整合

  • 王萌 ,
  • 张小青 ,
  • 李嘉鑫 ,
  • 万盈璐
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  • 430023 武汉市 华中科技大学同济医学院附属协和医院(王萌,张小青,万盈璐);长江大学护理学院(李嘉鑫)
王萌,女,本科(硕士在读),护士,E-mail:1391389714@qq.com

收稿日期: 2023-01-28

  网络出版日期: 2024-01-15

Meta synthesis of qualitative studies on cancer risk perception in first-degree relatives of breast cancer patients

  • Meng WANG ,
  • Xiaoqing ZHANG ,
  • Jiaxin LI ,
  • Yinglu WAN
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Received date: 2023-01-28

  Online published: 2024-01-15

摘要

目的 分析与评价乳腺癌患者一级亲属对感知癌症风险后的感受、对风险的认识等,为改善其风险感知水平,提高癌症预防意识和采取健康行为提供参考。 方法 计算机检索建库至2022年11月1日发表在中国知网、万方、维普、中国生物医学文献网、Embase、PubMed、Web of Science等数据库中乳腺癌患者一级亲属风险感知的质性研究文献,采用JBI质性研究质量评价工具对文献进行质量评价,采用Meta整合方法对结果进行整合分析。结果 共纳入9篇研究,提炼出28个主题,归纳为7个类别,最终形成3个整合结果,即乳腺癌患者一级亲属感知自身患癌风险存在多重情绪、乳腺癌患者一级亲属感知自身患癌风险存在认知差异、乳腺癌患者一级亲属面对患癌风险态度差别较大。 结论 医护人员应提高对乳腺癌患者一级亲属的重视,关注其心理情绪及对风险的认识,给予其个体化指导,提高其预防管理态度。

本文引用格式

王萌 , 张小青 , 李嘉鑫 , 万盈璐 . 乳腺癌患者一级亲属癌症风险感知质性研究的Meta整合[J]. 中华护理教育, 2024 , 21(1) : 104 -109 . DOI: 10.3761/j.issn.1672-9234.2024.01.017

Abstract

Objective To analyze and evaluate the experience, attitude and behavior of first-degree relatives of breast cancer patients on cancer risk perception, in order to improve the level of risk perception, raise the awareness of cancer prevention and follow the guidance of healthy behavior improvement. Methods Literature searching was undertaken in databases including CNKI, Wanfang, VIP, Sinomed, Embase, PubMed, Web of Science and other databases in order to collect qualitative research literature on risk perception of first-degree relatives of breast cancer patients. The time was set from the establishment of the database to November 1, 2022. Then, JBI qualitative research quality evaluation tool was used to evaluate the quality of the literature, and meta-integration method was used to integrate and analyze the results. Results A total of nine studies were included, and 28 themes were extracted and summarized into seven categories. Finally, three integrated results were formed, namely multiple emotions in their perception of their own cancer risk, different perceptions of their own cancer risk, and different attitudes towards cancer risk. Conclusion Medical staffs should pay more attention to the first-degree relatives of breast cancer patients, focus on their psychological emotions and needs, and give them individual guidance.

参考文献

[1] 曹毛毛, 陈万青. GLOBOCAN 2020全球癌症统计数据解读[J]. 中国医学前沿杂志(电子版), 2021, 13(3):63-69.
[2] Brewer HR, Jones ME, Schoemaker MJ, et al. Family history and risk of breast cancer:an analysis accounting for family structure[J]. Breast Cancer Res Treat, 2017, 165(1):193-200.
[3] 中国抗癌协会乳腺癌专业委员会. 中国抗癌协会乳腺癌诊治指南与规范(2021年版)[J]. 中国癌症杂志, 2021, 31(10):954-1040.
[4] Bravi F, Decarli A, Russo AG. Risk factors for breast cancer in a cohort of mammographic screening program:a nested case-control study within the FRiCaM study[J]. Cancer Med, 2018, 7(5):2145-2152.
[5] 信博, 赵秋利, 王楠楠. 癌症高危人群癌症风险感知的研究进展[J]. 解放军护理杂志, 2021, 38(3):41-44.
[6] 杨艳艳, 邓雨芳, 韩金钱, 等. 不稳定性心绞痛病人风险感知体验的质性研究[J]. 全科护理, 2021, 19(24):3422-3424.
[7] 罗楚青, 张美芬, 吴晓丹. 遗传性癌症患者疾病感知研究进展[J]. 中华现代护理杂志, 2021, 27(36):5031-5035.
[8] Ferrer RA, Klein WM. Risk perceptions and health behavior[J]. Curr Opin Psychol, 2015, 5:85-89.
[9] 胡雁. 如何开展质性研究的系统评价和Meta整合[J]. 上海护理, 2020, 20(7):1-5.
[10] 陆宁宁, 程芳, 邾萍, 等. 乳腺癌患者女性一级亲属照顾者真实体验质性研究[J]. 护理学报, 2021, 28(22):1-5.
[10] Lu NN, Cheng F, Zhu P, et al. Experience of female first-degree relative caregivers of breast cancer patients:a qualitative study[J]. J Nurs, 2021, 28(22):1-5.
[11] Hashemi-Ghasemabadi M, Taleghani F, Kohan S, et al. Living under a cloud of threat:the experience of Iranian female caregivers with a first-degree relative with breast cancer[J]. Psycho-Oncology, 2017, 26(5):625-631.
[12] Fang SY, Wang YM, Lee KT. “The Continuous Shadow of My Mother’s Breast Cancer”:exploring the voice of daughters[J]. Support Care Cancer, 2022, 30(2):1473-1481.
[13] Schroeder D, Duggleby W, Cameron BL. Moving in and out of the what-ifs:the experiences of unaffected women living in families where a breast cancer 1 or 2 genetic mutation was not found[J]. Cancer Nurs, 2017, 40(5):386-393.
[14] Keogh LA, McClaren BJ, Apicella C, et al. How do women at increased,but unexplained,familial risk of breast cancer perceive and manage their risk? A qualitative interview study[J]. Hered Cancer Clin Pract, 2011, 9(1):7.
[15] Chen SH, Liu JE, Guo DM, et al. PEACE-S risk coping:a qua-litative study exploring protective behavioral strategies of first-degree relatives of breast cancer survivors[J]. Eur J Oncol Nurs, 2022, 56:102095.
[16] Underhill ML, Lally RM, Kiviniemi MT, et al. Living my fa-mily’s story:identifying the lived experience in healthy women at risk for hereditary breast cancer[J]. Cancer Nurs, 2012, 35(6):493-504.
[17] Lagarde JBB, Laurino MY, San Juan MD, et al. Risk percep-tion and screening behavior of Filipino women at risk for breast cancer:implications for cancer genetic counseling[J]. J Community Genet, 2019, 10(2):281-289.
[18] Spector D, Mishel M, Skinner CS, et al. Breast cancer risk perception and lifestyle behaviors among White and Black women with a family history of the disease[J]. Cancer Nurs, 2009, 32(4):299-308.
[19] Rutherford EJ, Kelly J, Lehane EA, et al. Health literacy and the perception of risk in a breast cancer family history clinic[J]. Surgeon, 2018, 16(2):82-88.
[20] 杨淑. 乳腺癌患者一级亲属对乳腺癌筛查认知的质性研究[D]. 长春: 吉林大学, 2022.
[21] 陆宁宁, 邾萍, 马珠月, 等. 乳腺癌患者一级亲属乳腺癌早期筛查的研究进展[J]. 实用临床医药杂志, 2021, 25(22):129-132.
[22] 赵鑫, 王玉珍, 孟红燕, 等. “患亲同伴”的指导对乳腺癌患者一级亲属早期筛查行为影响的研究[J]. 护士进修杂志, 2019, 34(20):1900-1903.
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