Jiahui Liu, Xuying Li, Yan Tan, Meihua Hu, Yunxia Fang, Jie Li Wang
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引用次数: 0
摘要
问题识别:治疗不当的疼痛会对癌症患者的身心健康、生活质量和功能状态产生负面影响。为了解决护士提供癌症疼痛管理的经验和障碍,进行了系统的回顾。文献检索:检索PubMed®、Embase®、Web of Science、CINAHL®、Cochrane Library、CNKI、VIP中文科技期刊全文数据库、万方、SINOMED等数据库,检索自建库至2022年8月发表的文章。资料评估:两位研究者独立评估研究的质量,并使用主题综合进行元整合。18项定性研究包括来自11个不同国家的277名护士。综合:确定了以下三个关于护士提供癌症疼痛管理障碍的主题:(a)与医疗保健专业相关的障碍,(b)与患者相关的障碍,以及(c)与组织相关的障碍。实践意义:本系统综述为护士管理癌症患者的疼痛和制定适当的干预措施提供了循证参考。
Barriers for Nurses Providing Cancer Pain Management: A Qualitative Systematic Review.
Problem identification: Improperly managed pain can negatively affect physical and mental health, quality of life, and functional status of individuals with cancer. To address nurses' experiences with and barriers to providing cancer pain management, a systematic review was conducted.
Literature search: PubMed®, Embase®, Web of Science, CINAHL®, Cochrane Library, CNKI, VIP Chinese Science and Technology Periodicals Full-Text Database, Wanfang, and SINOMED databases were searched for articles published from database inception through August 2022.
Data evaluation: Two researchers independently evaluated the studies' quality, and meta-integration was performed using thematic synthesis. Eighteen qualitative studies, including 277 nurses from 11 different countries, were included in the review.
Synthesis: The following three themes regarding nurses' barriers to providing cancer pain management were identified: (a) healthcare professional-related barriers, (b) patient-related barriers, and (c) organizational-related barriers.
Implications for practice: This systematic review provides an evidence-based reference for nurses to manage pain among individuals with cancer and develop appropriate interventions.
期刊介绍:
The mission of the Oncology Nursing Forum, an official publication of ONS, is to
Convey research information related to practice, technology, education, and leadership.
Disseminate oncology nursing research and evidence-based practice to enhance transdisciplinary quality cancer care.
Stimulate discussion of critical issues relevant to oncology nursing.