摘要
目的:系统评价有关癌症晚期患者在生命末期尊严体验的质性研究,为癌症患者安宁疗护的临床实践和政策制定提供依据。方法:检索相关数据库,搜集关于癌症晚期患者对尊严的感受或体验的质性研究,检索时间均为建库至2022年2月。采用澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心(2016)质性研究真实性评价工具进行评价,汇集性整合法对结果进行整合。结果:共纳入10项研究,提炼出33个完好明确的研究结果,将相似的研究结果归纳形成10个新的类别,并综合成3个整合结果。生理相关尊严:直接由患者的生理症状困扰和自主功能缺陷引起的尊严体验;心理相关尊严:受患者的心理症状困扰、精神寄托和积极应对影响的尊严体验;社会相关尊严:由患者的个人角色及隐私、他人态度及行为、经济担忧和医疗资源需求组成的尊严体验。结论:医疗机构、家庭和社会需要共同关注癌症晚期患者的尊严体验,从生理、心理、社会的多个维度给予支持,维护癌症晚期患者的尊严。
Objective:To systematically review the qualitative studies of dignity experience in patients with advanced cancer at the end of life,and to provide references for clinical practice and policies of hospice care for patients with advanced cancer.Methods:Relational database were searched from inception to February 2022 for qualitative studies on the dignity experience of patients with advance cancer.The Joanna Briggs Institute Critical Appraisal Tool for qualitative studies from Australia was used to evaluate the quality of included studies.The results were integrated by aggregative synthesis methods.Results:A total of 10 studies were included,33 complete findings were grouped according to their similarities to form 10 categories,then resulted in 3 synthesized findings.Physiological related dignity:the dignity experience caused directly by physical symptoms and autonomic dysfunction impaired physiological dignity.Psychological related dignity:the dignity experience influenced by psychological distress,spiritual value and positive coping.Social related dignity:the dignity experience composed of social roles and privacy,attitudes and behaviors of others,financial burden,and medical resource needs.Conclusion:Medical institutions,families and society need to pay attention to the dignity experience of patients with advanced cancer and provide support from physiological,psychological and social dimensions to maintain the dignity of patients with advanced cancer.
作者
王敏
万永慧
杨冰香
刘茜
WANG Min;WAN Yonghui;YANG Bingxiang;LIU Qian(School of Nursing,Wuhan University,Wuhan,430071,China)
出处
《中国护理管理》
CSCD
2022年第9期1377-1383,共7页
Chinese Nursing Management
基金
国家自然科学基金青年科学基金项目(82103025)
中央高校基本科研业务费专项资金项目(2042021kf0045)。
关键词
癌症
晚期
尊严体验
质性研究
Meta整合
cancer
terminally
dignity experience
qualitative research
Meta-synthesis
