摘要
目的整合儿童及青少年癌症患者重返学校体验的质性研究,帮助肿瘤科医护人员及利益相关者了解儿童及青少年癌症患者重返学校的感受与想法。方法检索CINAHL、Embase、PubMed、Scopus、The Cochrane Library、Web of Science、EBSCO、万方数据库、中国知网、中国生物医学文献服务系统中关于儿童及青少年癌症患者重返学校体验或者感受的质性研究,检索时限从建库至2023年6月。纳入文献均采用JBI循证卫生保健中心质性研究质量评价标准对文献进行评价,再运用Meta整合方法对纳入研究的原始结果进行整合。结果纳入5篇文献,提取21个原始研究结果,汇集成3个整合结果。整合结果1:长期协调学业与治疗的冲突,遭遇困境与落后;整合结果2:管理疾病及改变,期望获得理解与支持;整合结果3:重返校园带来益处,患者开启新生活。结论儿童及青少年癌症患者重返学校后,发现癌症造成了多重的改变和影响,难以协调学习和治疗而导致学校表现落后,但是重返学校使其回归正常生活并且收获诸多益处。这启示应该关注患者在学校内的困境和特殊性,积极联合学校、医院及家庭来促进儿童及青少年癌症患者更好地融入其学校和社会环境。
Objective To integrate the qualitative research on the experience of children and adolescents with cancer returning to school,so as to assist oncology medical staff and stakeholders to understand the feelings and thoughts of children and adolescents with cancer returning to school,and develop beneficial psychosocial intervention programs.Methods Computer retrieval of qualitative research on the experience or feelings of children and adolescent cancer patients returning to school was undertaken in databases including CINAHL,Embase,PubMed,Scopus,The Cochrane Library,Web of Science,EBSCO,Wanfang,CNKI,and CBM.Relevant papers were retrieved from the establishment of the database to June 2023.The included literature was firstly evaluated by JBI Evidence-based Health Care Center qualitative research quality evaluation standard,and then the original results of the included studies were integrated by Meta-integration method.Results A total of five literatures were included,21 original research results were extracted,and three integration results were pooled.The first integration result referred to long-term coordination of academic and treatment conflicts,suffering difficulties and backwardness.The second integration involved managing disease and change,expecting understanding and support.The third result focused on going back to school brings benefits and patients start a new life.Conclusion Children and adolescent cancer patients who return to school perceive that cancer has caused multiple changes and influences,and it is difficult to coordinate learning and treatment,leading to poor school performance.While returning to school enables them to return to normal life and acquire many benefits,which should pay attention to the difficulty and particularity of patients in school.Active collaboration of schools,hospitals and families would promote the re-integration of children and adolescents with cancer into their school and social environment.
作者
钱湛
林觐民
杨晓婷
朱慧
QIAN Zhan;LIN Jinmin;YANG Xiaoting;ZHU Hui
出处
《中华护理教育》
CSCD
北大核心
2023年第8期974-980,共7页
Chinese Journal of Nursing Education
关键词
儿童
青少年
肿瘤
定性研究
重返学校
Meta整合
Child
Adolescent
Neoplasms
Qualitative Research
Return to school
Meta-synthesis
