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
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中华护理教育

中华护理教育 >

2024 , Vol. 21 >Issue 3: 378 - 384

DOI: https://doi.org/10.3761/j.issn.1672-9234.2024.03.020

综述

混合方法研究在我国癌症患者护理领域中应用的范围综述

  • 李军婷 ,
  • 庄嘉元 ,
  • 张妍燕 ,
  • 王艳
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  • 350122 福州市 福建医科大学护理学院
李军婷，女，本科（硕士在读），E-mail：lijunting1116@163.com

收稿日期: 2023-07-24

  网络出版日期: 2024-03-13

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Application of mixed methods study in cancer care in China：a scoping review

  • Junting LI ,
  • Jiayuan ZHUANG ,
  • Yanyan ZHANG ,
  • Yan WANG
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Received date: 2023-07-24

  Online published: 2024-03-13

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摘要

目的 审查混合方法研究在我国癌症患者护理领域应用现状及不足，为规范设计、有效实施、完整报告混合方法研究提供参考。 方法 以Arksey和O’Malley范围综述方法为框架，系统检索中国知网、万方、中国生物医学文献数据库、维普、PubMed、Embase、Web of Science、Cochrane Library、CINAHL 9个数据库，检索时限为建库至2023年10月18日，对文献进行筛选、数据提取、分析。结果 共纳入30篇文献，研究设计以解释性顺序混合方法研究为主（4篇）；疾病种类以乳腺癌为主（14篇）；研究主题从生活质量和心理体验逐渐扩展到支持性照护、创伤后成长、体力状况等；研究内容涉及现状及其影响因素或主观体验分析、量表或方案构建、干预措施效果评价等多个方面。纳入文献大部分对研究过程中的抽样、资料收集与分析方法报告较规范，但在研究设计、结果方面报告不足。结论 混合方法研究在我国癌症护理领域应用逐渐增加，研究对象以乳腺癌患者为主，研究主题与研究内容逐渐丰富，但研究报告质量不高。建议研究者应熟悉混合方法研究报告标准，在研究设计、实施阶段、报告研究结果时参照报告标准；思考混合方法研究的适宜性与实施细节，提高混合方法研究的质量。

关键词： 癌症护理; 混合方法研究; 范围综述

本文引用格式

李军婷 , 庄嘉元 , 张妍燕 , 王艳 . 混合方法研究在我国癌症患者护理领域中应用的范围综述[J]. 中华护理教育, 2024 , 21(3) : 378 -384 . DOI: 10.3761/j.issn.1672-9234.2024.03.020

Abstract

Objective To review the current status and shortcomings of the application of mixed-methods research in the field of cancer patient care in China，and to provide a reference for standardized design，effective implementation，and complete reporting of mixed-methods research. Methods Based on the framework of Arksey and O’Malley scoping review method，nine databases were systematically searched，including CNKI，Wanfang，SinoMed，VIP，PubMed，Embase，Web of Science，Cochrane Library，and CINAHL. Time limit was set from the date of library construction to October 18，2023. Literature was screened，extracted，and analyzed. Results A total of 30 literatures were included，with the study design dominated by explanatory sequential mixed studies （4）；and the disease type dominated by breast cancer（14）. The topics of the studies were gradually expanded from quality of life and psychological experience to supportive care，post-traumatic growth，and physical condition. In addition，the content of the studies involved various aspects such as analysis of the current situation and its influencing factors or subjective experience，construction of the scales or protocols，and evaluation of the effect of the interventions. While，most of the included literature reported more standardized in sampling，data collection and analysis methods，the study design and outcome stages were generally underreported. Conclusion Mixed-methods research has been gradually increased in the application of cancer care in China. The research object is dominated by breast cancer patients，and the research topic and research content are gradually enriched，though with limited quality of the research report. It is recommended that researchers should be familiar with the reporting standards for mixed method researches，refer to the reporting standards during the research design，implementation phase，and reporting of research results. In addition，scholars should consider the suitability and implementation details of mixed method research to improve the quality of mixed method research further.

Key words： Cancer care; Mixed methods study; Scoping review

参考文献

[1] Johnson RB, Onwuegbuzie AJ, Turner LA. Toward a definition of mixed methods research[J]. J Mix Methods Res, 2007, 1(2):112-133.
[2] Lee SD, Iott B, Banaszak-Holl J, et al. Application of mixed methods in health services management research:a systematic review[J]. Med Care Res Rev, 2022 79(3):331-344.
[3] Arksey H, O’Malley L. Scoping studies:towards a methodolo-gical framework[J]. Int J Soc Res Methodol, 2005, 8(1):19-32.
[4] O’Cathain A, Murphy E, Nicholl J. The quality of mixed methods studies in health services research[J]. J Health Serv Res Policy, 2008, 13(2):92-98.]
[5] 王喜益, 叶志弘, 汤磊雯. 范围综述在护理领域的应用进展[J]. 中华护理杂志, 2019, 54(8):1259-1263.
[5] Wang XY, Ye ZH, Tang LW. Application progress of scope review in nursing field[J]. Chin J Nurs, 2019, 54(8):1259-1263.
[6] 祝辉. 直肠癌结肠造口术患者真实心理体验的质性研究[D]. 长春: 吉林大学, 2009.
[6] Zhu H. Qualitative research for the ture psychological experience of patients with rectal carcinoma[D]. Changchun: Jilin University, 2009.
[7] 夏丽. 乳腺癌保乳手术病人术后生存质量的研究[D]. 天津: 天津医科大学, 2010.
[7] Xia L. Study on quality of life of patients with breast cancer after breast conserving surgery[D]. Tianjin: Tianjin Medical University, 2010.
[8] 刘树麟. 年轻乳腺癌生存者希望及生命质量的研究[D]. 上海: 复旦大学, 2011.
[8] Liu SL. The study of hope and quality of life in young breast cancer survivors[D]. Shanghai: Fudan University, 2011.
[9] 李艳敏. 乳腺癌患者围手术期心理及其影响因素研究[D]. 蚌埠: 蚌埠医学院, 2012.
[9] Li YM. Perioperative psychology and its influence factors research in breast cancer patients[D]. Bangbu: Bengbu Medical College, 2012.
[10] 胡晔. 益处发现评定量表在乳腺癌患者中的本土化研究[D]. 合肥: 安徽医科大学, 2014.
[10] Hu Y. The localized study of Benefit Finding Scales for breast cancer patients[D]. Hefei: Anhui Medical University, 2014.
[11] 杨茜茜. 肺癌患者病耻感的量性和质性研究[D]. 泰安: 泰山医学院, 2015.
[12] 田佳. 食管癌患者心理弹性影响因素及干预措施研究[D]. 太原: 山西医科大学, 2016.
[12] Tian J. Research on psychological resilience influential factors of esophageal carcinoma patients and intervention measures[D]. Taiyuan: Shanxi Medical University, 2016.
[13] 吴赟, 成巧梅, 王宇霞, 等. 癌症病人癌因性疲乏的混合方法研究[J]. 全科护理, 2016, 14(14):1411-1414.
[14] 裘佳佳, 胡震, 管佳琴. 接受BRCA1/BRCA2基因检测乳腺癌病人生命质量现状及突变病人的心理体验[J]. 护理研究, 2017, 31(3):303-307.
[14] Qiu JJ, Hu Z, Guan JQ. Status quo of quality of life of patients with breast cancer detected by BRCA1/BRCA2 gene and psychological experience of patients with genic mutation[J]. Chin Nurs Res, 2017, 31(3):303-307.
[15] 吴子敬. 乳腺癌患者心理韧性模型构建的研究[D]. 沈阳: 中国医科大学, 2017.
[16] 张钰庭. 阅读疗法对终末期恶性肿瘤患者负性情绪及生活质量的影响[D]. 郑州: 郑州大学, 2017.
[16] Zhang YT. Effect of reading therapy on negative emotions and quality of life of patients with terminal malignant tumor[D]. Zhengzhou: Zhengzhou University, 2017.
[17] 耿朝辉. 基于乳腺癌患者化疗期体力活动规律的移动医疗干预研究[D]. 上海: 海军军医大学, 2018.
[18] 江一铃. 农村晚期肺癌化疗患者心理困扰与应对方式的混合性研究[D]. 合肥: 安徽医科大学, 2018.
[18] Jiang YL. Study on the experiences of psychological distress and coping styles in patients with advanced lung cancer undergoing chemotherapy in rural areas:a mixed method[D]. Hefei: Anhui Medical University, 2018.
[19] 景丽伟. 乳腺癌生存者性生活质量现状分析及质量评价工具研制[D]. 沈阳: 中国医科大学, 2018.
[20] 梁亚静. 乳腺癌手术病人参与术后疼痛管理和健康教育需求调查[D]. 蚌埠: 蚌埠医学院, 2018.
[21] 田燕. 原发性肝癌多次TACE患者认知循环的研究[D]. 济南: 山东大学, 2018.
[21] Tian Y. Study on cognitive cycle of patients with primary liver cancer undergoing multiple TACE[D]. Jinan: Shandong University, 2018.
[22] 王李. 晚期肺癌患者灵性健康现状及相关因素的研究[D]. 衡阳: 南华大学, 2018.
[22] Wang L. Study on the current situation of spiritual health and related factors of patients with advanced lung cancer[D]. Hengyang: University of South China, 2018.
[23] 孙丽军. 基于微信平台的晚期癌症患者家庭参与式人生回顾干预方案的构建与评价[D]. 福州: 福建医科大学, 2019.
[24] 张颖婷. 基于移动医疗应用程序的乳腺癌患者自我管理干预方案的构建及实证研究[D]. 上海: 海军军医大学, 2019.
[25] 李文静. 正念癌症康复训练对化疗期乳腺癌患者心身症状的影响:一项混合研究[D]. 太原: 山西医科大学, 2020.
[25] Li WJ. Effect of mindfulness cancer rehabilitation training on psychosomatic symptoms of breast cancer patients during chemotherapy—a mixed study[D] .Taiyuan: Shanxi Medical University, 2020.
[26] 吴莉萍. 全流程移动信息支持对乳腺日间手术患者信息接收及焦虑水平影响的研究[D]. 上海: 上海交通大学, 2020.
[27] 胡洁蔓. ERAS理念下直肠癌临时性肠造口患者护理方案构建及其实证研究[D]. 长春: 吉林大学, 2021.
[28] 马翠. 乳腺癌患者家庭复原力现状及其影响因素分析[D]. 遵义: 遵义医科大学, 2021.
[29] 万广英. 胃癌术后患者口服营养补充依从性的差异:一项解释性顺序混合研究[D]. 长春: 吉林大学, 2021.
[29] Wan GY. Differences in compliance of oral nutritional supple-ments in postoperative patients with gastric cancer:an expla-natory sequential mixed study[D]. Changchun: Jilin University, 2021.
[30] 刘璐璐. 头颈癌术后患者创伤后成长现状及影响因素的混合研究[D]. 蚌埠: 蚌埠医学院, 2022.
[30] Liu LL. Mixed study on the status quo and influencing factors of post-traumatic growth of patients with head and neck cancer after operation[D]. Bangbu: Bengbu Medical College, 2022.
[31] 吕学瑞. 肺癌患者就医延迟现状及其影响因素的混合性研究[D]. 沈阳: 中国医科大学, 2022.
[32] 谭楚霞. 口腔癌术后患者病耻感现状及影响因素的混合性研究[D]. 长沙: 中南大学, 2022.
[33] 谭佳宁. 中青年女性癌症患者失志综合征水平差异及其干预研究[D]. 镇江: 江苏大学, 2022.
[34] 向玉云. 乳腺癌患者治疗期认知障碍发展轨迹及其适应方式的纵向研究[D]. 成都: 电子科技大学, 2022.
[34] Xiang YY.A longitudinal study on the development track and adaptation style of cognitive impairment in breast cancer patients during treatment[D]. Chengdu: University of Electronic Science and Technology of China, 2022.
[35] 佘祎玮. 晚期肺癌患者姑息照护需求现状及其影响因素研究[D]. 合肥: 安徽医科大学, 2023.
[36] 陈超. 混合方法研究在循证医学教学评估中的应用[D]. 武汉: 华中科技大学, 2013.
[36] Chen C. Application of mixed method research in teaching evaluation of evidence-based medicine[D]. Wuhan: Huazhong University of Science and Technology, 2013.
[37] Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3):209-249.
[38] 李玉玲, 康晓凤, 夏春红, 等. 以国家健康服务需求为导向的护理专业特色人才培养[J]. 中华护理教育, 2017, 14(4):291-294.
[38] Li YL, Kang XF, Xia CH, et al. An exploratory study on the unique training of nursing professionals oriented by the demands of the national health service[J]. Chin J Nurs Educ, 2017, 14(4):291-294.
[39] 褚红玲, 李楠, 赵一鸣. 混合方法研究的核心:整合[J]. 中华儿科杂志, 2020, 58(9):771.
[40] 李峥, 刘宇. 护理学研究方法[M]. 2版. 北京: 人民卫生出版社, 2018:399-408.
[41] Bressan V, Bagnasco A, Aleo G, et al. Mixed-methods research in nursing - a critical review[J]. J Clin Nurs, 2017, 26(19/20):2878-2890.
[42] 卢津津, 王雅雯, 孙淑婷, 等. 混合方法研究报告标准GRAMMS解读及对护理研究的启示[J]. 护理学杂志, 2022(9):107-110.
[42] Lu JJ, Wang YW, Sun ST, et al. Interpretation of the Good Reporting of A Mixed Methods Study checklist and its enlightenment to nursing research[J]. J Nurs Sci, 2022(9):107-110.
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