摘要
目的 系统整合国内外关于伴侣态度影响宫颈癌筛查决策的质性研究,旨在提出针对性的支持策略优化方案,进而有效提升女性的筛查参与率。方法 计算机检索PubMed、Web of Science、CINAHL、Cochrane Library、Embase、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中有关宫颈癌筛查中伴侣态度的质性研究,检索时限为建库至2024年3月。依据澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准(2016版)进行文献质量评价,并采用汇集性整合方法对研究结果进行整合归纳。结果 共纳入9篇文献,提炼出完整的研究主题30个,归纳组合形成10个类别、3个整合结果。整合结果 1:积极助力宫颈癌筛查的动机与行动支持;整合结果 2:支持伴侣宫颈癌筛查的多维障碍;整合结果 3:重视参与宫颈癌筛查的认知与决策支持。结论 基于伴侣对宫颈癌筛查所持态度的矛盾性与复杂性(兼具支持意愿、障碍因素与共同参与诉求),建议医护人员将伴侣视为关键干预对象:善用其积极动机以强化支持;针对性克服障碍以促进参与;并通过二元干预提升男性认知与决策能力,从而实现筛查支持与参与度的共同提升。
Objective To systematically synthesize Chinese and foreign qualitative studies on the effects of partner attitudes on cervical cancer screening decision-making,aiming to propose targeted support strategy optimization plans,thereby enhancing women's screening participation rates.Methods Qualitative studies on partner attitudes in cervical cancer screening were searched online in PubMed,Web of Science,CINAHL,Cochrane Library,Embase,CNKI,Wanfang Data,VIP and CBMdisc from their establishment to March 2024.Literature quality was evaluated using the Critical Appraisal Checklist for Qualitative Research(2016 edition)from the Joanna Briggs Institute Australian Centre for Evidence-Based Healthcare.The findings were synthesized and summarized using an aggregative synthesis approach.Results A total of 9 articles were included,from which 30 complete research topics were extracted and organized into 10 categories and 3 synthesized results.Synthesized result 1:Motivational and action support that actively facilitate partner participation in cervical cancer screening;synthesized result 2:Multidimensional barriers to partner participation in cervical cancer screening;synthesized result 3:The critical role of cognition and decisionmaking support for partner participation in cervical cancer screening.Conclusion Given the contradictory and complex attitudes of partners towards cervical cancer screening—encompassing supportive intentions,barriers and willingness for shared participation—healthcare providers should consider partners as key intervention targets.Specifically,healthcare providers should leverage partners'positive motivation to strengthen support,address specific barriers to encourage their participation,and improve men's cognition and decision-making through dyadic interventions,thereby collectively boosting screening support and participation rates.
作者
朱洁
刘媛
赵子韩
常青
ZHU Jie;LIU Yuan;ZHAO Zihan;CHANG Qing(Tianjin Medical University Cancer Institute&Hospital/National Clinical Research Center for Cancer/Tianjin's Clinical Research Center for Cancer/Key Labora-tory of Cancer Prevention and Therapy,Tianjin 300060;Shijiazhuang No.18 Retired Cadre Sanatorium,Shi-jiazhuang 050000)
出处
《上海护理》
2025年第12期11-17,共7页
Shanghai Nursing
基金
天津市医学重点学科建设资助(TJYXZDXK-3-003A)。
关键词
男性
伴侣
配偶
宫颈癌筛查
质性研究
Meta整合
Man
Partner
Spouse
Cervical cancer screening
Qualitative study
Meta-synthesis
