摘要
目的系统整合肿瘤患者自我倡权体验的质性研究,为制订针对性干预策略,提高肿瘤患者自我倡权水平提供依据。方法系统检索PubMed、Embase、Web of Science、Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献服务系统关于肿瘤患者自我倡权体验的质性研究,检索时限为建库到2023年12月31日,采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准评价文献质量,运用汇集性Meta整合法进行结果整合。结果共纳入12篇文献,提炼出51个研究结果,归纳为12个类别,得出4个整合结果:自我倡权的不同声音、自我倡权的正性力量、自我倡权的障碍、多维的倡权需求。结论医护人员应坚持"以患者为中心"的理念,指导肿瘤患者提升自我倡权意识,重视正性力量,激发内驱力,营造良好倡权氛围,多途径提高患者的倡权能力,满足多维需求。
Objective To systematically integrate qualitative studies on the experience of self-advocacy in cancer patients,so as to provide basis for formulating targeted intervention strategies and improving the level of self-advocacy in cancer patients.Methods Qualitative studies on the self-advocacy experience of cancer patients were systematically searched from PubMed,Embase,Web of Science,Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,VIP database,and China Biomedical Literature Service System,and the search period was from the establishment of the database to December 31,2023.The quality of literature was evaluated using the qualitative research quality evaluation criteria of JBI Evidence-Based Health Care Center in Australia,and the results were integrated by aggregative meta-integration method.Results A total of 12 literatures were included,and 51 research results were extracted,which were summarized into 12 categories,and four integrated results were obtained:different voices of self-advocacy rights,positive power of self-advocacy rights,obstacles to self-advocacy rights,and multi-dimensional demand for advocacy rights.Conclusions Medical staff should adhere to the concept of"patient-centered",guide cancer patients to enhance their awareness of self-advocacy rights,attach importance to positive power,stimulate internal drive,create a good atmosphere of advocacy rights,improve patients′advocacy ability in multiple ways,and meet multi-dimensional needs.
作者
涂宇
冯乾森
杨罗
喻蓉
孔娣
Tu Yu;Feng Qiansen;Yang Luo;Yu Rong;Kong Di(Department of Oncology,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,China;Nursing School of Zunyi Medical University,Zunyi 563000,China;Department of Palliative Medicine,the Fourth Hospital of West China,Sichuan University,Chengdu 610000,China;Department of Chronic Psychiatry,Chengdu Fourth People's Hospital,Chengdu 610000,China)
出处
《中国实用护理杂志》
2024年第29期2314-2320,F0003,共8页
Chinese Journal of Practical Nursing
基金
西南医科大学应用基础青年项目(2021ZKQN073)。
关键词
肿瘤
自我倡权
体验
定性研究
Meta整合
Neoplasms
Self-advocacy
Experience
Qualitative research
Meta-synthesis
