华人生死学
我国癌症患者对“生命意义”体验的Meta整合
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1.王石坤,护师,通讯地址:云南省昆明市西山区昆明医科大学第三附属医院,邮编:650118邮箱:379229143@qq.com
2. 蒋彩燕,护士,通讯地址:云南省昆明市五华区五华区人民医院,邮编:650031,邮箱:2446176565@qq.com
3. 陈希晨,昆明医科大学护理学院硕士研究生在读,通讯地址:云南省昆明市西山区昆明医科大学第三附属医院,邮编:650118邮箱:1912874153@qq.com
4. 陶然(通讯作者),副主任护师,护士长,通讯地址:云南省昆明市西山区昆明医科大学第三附属医院,邮编:650118邮箱:151473971@qq.com

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R73;B083

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Meta-Integration of Cancer Patients ' Perspective on ' Meaning of Life' in China
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    摘要:

    目的:系统评价我国癌症患者对“生命意义”体验/认知,以期为更好地制定癌症患者生命意义干预方案和善终提供依据。方法:检索PubMed、The Cochrane Library、Web of science、PsycINFO、Scopus、中国知网、万方数据库、维普网、台湾学术文献数据库、香港大学学术库以及中国生物医学文献数据库等中英文数据库,纳入关于癌症患者对“生命意义”体验/认知的质性研究,检索时间限制在建库至2023年2月28日。文献质量评价采用澳大利亚循证卫生保健中心质性研究质量评价标准,采用汇集性整合方法对结果进行归纳和整合。结果:经过文献筛选和质量评价共纳入9篇文献,提炼出40个研究结果,归纳形成7个新类别,总结为3个整合结果。整合结果1:重新评估生活的价值。整合结果2:增强珍惜和感恩之情。整合结果3:寻求心灵上的平静和宁静。结论:提示我国癌症患者对“生命意义”有不同的体验,不仅需要关注到患者本身的生命质量,也需要关注到传统文化影响下,家庭、社会、宗教等对癌症患者生命意义的影响,同时也需要关注患者对死亡的态度的转变。医护人员应重视并采取多种措施满足其生命意义的需求,帮助其追寻生命意义,最终达到善终的目的。

    Abstract:

    Objective To systematically evaluate the experience / cognitions of cancer patients on ' meaning in life ' in China,aiming to provide a foundation for better formulating interventions for cancer patients ' meaning in life and dying well. Methods The Chinese and English databases such as PubMed,The Cochrane Library,Web of science, PsycINFO, Scopus, CNKI, Wanfang Database,VIP,Taiwan Academic Literature Database,University of Hong Kong Academic Database and China Biomedical Literature Database were searched. Qualitative studies focusing on cancer patients ' experience / cognitions regarding the ' meaning of life ' were included, with the search limited to articles published up to February 28, 2023. The quality of the literature was assessed using the Australian Evidence-based Health Care Center, and a convergent synthesis method was employed to summarize and integrate the results. Results After literature screening and quality assessment,a total of 9 articles were included, yielding 40 research results, which were categorized into 7 new themes and summarized into 3 integrated results. Integrated result 1:Reassessing the value of life. Integrated result 2: Enhances sentiments of appreciation and gratitude. Integrated result 3: seeking mental tranquility and serenity. Conclusion The findings suggested diverse experience among cancer patients in China on the meaning of life. Attention should not be directed towards the patients’ own quality of life but also towards the influences of traditional culture, family, society, religion, and the evolving attitudes toward death. Healthcare professionals should prioritize and implement various measures to meet the existential needs of patients, assisting them in seeking meaning in life and ultimately achieving a good death.

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王石坤,蒋彩燕,陈希晨,陶然.我国癌症患者对“生命意义”体验的Meta整合[J].华人生死学,2023,(2):111-124

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  • 录用日期:2022-11-01
  • 在线发布日期: 2022-12-15
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