摘要
目的本研究旨在通过Meta分析方法探讨癌症患者面临经济毒性时的内心体验,以期为临床医护人员全面深入了解癌症患者经济毒性发生的感受和体验提供循证证据及理论参考,为采取针对性干预措施奠定基础。方法计算机检索CINAHL、PubMed、PsycINFO、Embase、Scopus、Web of Science、中国知网、万方、维普、中国生物医学文献等数据库,收集与癌症患者经济毒性内心体验有关的质性研究,检索时间为建库至2023年4月12日。根据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,采用Meta整合方法进行结果整合。结果共纳入23篇文献,提炼出82个主题,将相似主题归纳为11个新类别,最终整合成4个研究结果,即受客观费用、主观负担感受及不合理预期影响;多元认知态度及管理应对方式;对患者及家庭造成多重压力与挑战;提出需求期望,感知益处成长。结论医务人员应在癌症确诊初期关注患者面临的经济毒性问题,医患应就经济问题及时沟通,帮助其在疾病初期对即将面临的经济毒性有初步了解,可通过对主客观经济毒性进行不同侧重点的全方位干预,采取多维度缓解策略促进患者积极应对,增强家庭情感及经济支持促进共渡难关,重视患者需求与期望、引导患者强化感知正性体验,最大程度减轻经济毒性对患者的影响。
Objective This study aims to investigate the inner experiences of cancer patients when confronting financial toxicity through a Meta-analytical approach.The goal is to provide evidence-based insights and theoretical references for clinical healthcare professionals to fully understand the feelings and experiences associated with financial toxicity in cancer patients,thereby laying a foundation for targeted interventional measures.Methods A computerized search was conducted across databases including CINAHL,PubMed,PsycINFO,Embase,Scopus,Web of Science,CNKI,WanFang,VIP,Sinomed and other databases,collecting qualitative studies related to the inner experience of financial toxicity among cancer patients,up until April 12,2023.Quality appraisal of the included literature was carried out according to JBI′s standards for qualitative research,and results were synthesized using Meta-aggregation methods.Results Twenty-three studies were included,from which 82 specific outcomes were extracted.These were categorized into 11 new thematic groups and ultimately synthesized into four integrated findings:the impact of objective costs,subjective burden,and unreasonable expectations;diverse cognitive attitudes and management coping strategies;multiple pressures and challenges on patients and their families;and the articulation of needs and perceptions of beneficial growth.Conclusions Healthcare professionals should pay attention to the financial toxicity issues that patients face at the initial stage of cancer diagnosis.Timely communication about economic issues between patients and healthcare providers is essential to help patients have a preliminary understanding of the impending financial toxicity at the onset of the disease.A comprehensive intervention that emphasizes different aspects of objective and subjective financial toxicity,coupled with multi-dimensional mitigation strategies,can promote active coping in patients,enhance familial emotional and financial support to overcome challenges together,and prioritize patients′
作者
董莹
庄欢
房钰
张晨
姜桂春
Dong Ying;Zhuang Huan;Fang Yu;Zhang Chen;Jiang Guichun(School of Nursing,Dalian Medical University,Dalian 116000,China;Clinical Skills Training Center,Liaoning Cancer Hospital&Institute,Shenyang 110042,China;Third Department of Gynecology,Liaoning Cancer Hospital&Institute,Shenyang 110042,China)
出处
《中国实用护理杂志》
2024年第10期786-796,共11页
Chinese Journal of Practical Nursing
关键词
定性研究
癌症
经济毒性
内心体验
Meta整合
Qualitative research
Cancer
Financial toxicity
Inner experiences
Meta-synthesis
