肺癌患者病耻感体验质性研究的系统评价

A Systematic Review of Qualitative Study of Stigma Experience in Lung Cancer Patients

摘要: 目的：系统评价肺癌患者病耻感的体验与感受，为医护人员开展针对性干预提供理论依据。方法：计算机检索PubMed、Web of Science、Embase、The Cochrane Library、EBSCO、维普、中国知网、万方数据以及中国生物医学文献数据库，检索关于肺癌患者病耻感体验的质性研究，检索时限从建库至2022年12月。采用JBI循证卫生保健中心质性研究质量评价标准对文献质量进行评价，采用汇集性整合方法对结果进行整合。结果：共纳入6篇研究，提炼出20个研究结果，对相似的研究结果进行归纳形成5个新类别，综合成2个整合结果：肺癌患者病耻感的来源、肺癌患者病耻感的应对方式。结论：医护人员应高度重视肺癌患者病耻感问题，加强评估与筛查；调动多方位的社会支持，帮助肺癌患者缓解病耻感；加强科普宣传工作，降低公众对肺癌的偏见。

Abstract: Objective: To sys-tematically review the qualitative study of stigma experience in lung cancer patients, and to pro-vide a theoretical basis for targeted intervention by medical staff. Method: The databases of Pub-Med, Web of Science, Embase, The Cochrane Library, EBSCO, VIP, CNKI, Wanfang, and CBM were re-trieved on qualitative research about stigma experience in lung cancer patients. The retrieval pe-riod is from the establishment of the database to December 2022. The quality of the literature was evaluated by JBI Critical Appraisal Tool for the evidence-based healthcare center qualitative study. And the results were integrated by the aggregative integration method. Result: A total of 6 studies were included, and 20 research results were extracted. Similar research results were summarized to form 5 new categories, which were integrated into 2 integrated results: the source of lung cancer patients’ stigma and the coping styles for lung cancer patients’ stigma. Conclusion: Medical staff should attach great importance to the stigma of lung cancer patients and strengthen assessment and screening; mobilize multi-faceted social support to help alleviate the stigma of lung cancer pa-tients; strengthen the publicity of science popularization and reduce the public’s prejudice against lung cancer.