头颈癌患者重返工作岗位体验及需求质性研究的meta整合

doi:10.19438/j.cjoms.2025.03.013

中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (3): 290-296.doi: 10.19438/j.cjoms.2025.03.013

头颈癌患者重返工作岗位体验及需求质性研究的meta整合

杨盈¹, 曾维斯¹, 甘星¹, 李雨阳¹, 钱珍², 赵小妹², 侯黎莉³

1.成都中医药大学护理学院,四川成都 611137;
2.上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科,3.护理部,上海 200011

收稿日期:2024-10-11 修回日期:2024-12-12 出版日期:2025-05-20 发布日期:2025-06-05
通讯作者: 侯黎莉,E-mail: pisces_liz@163.com
作者简介:杨盈（1999-）,女,硕士研究生,E-mail: yangy19227@163.com

Emotions and experiences of head and neck cancer survivors returning to work: a meta-synthesis of qualitative studies

Yang Ying¹, Zeng Weisi¹, Gan Xing¹, Li Yuyang¹, Qian Zhen², Zhao Xiaomei², Hou Lili³

1. School of Nursing, Chengdu University of Traditional Chinese Medicine. Chengdu 611137, Sichuan Province;
2. Department of Oromaxillofacial Head and Neck Oncology, 3. Department of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2024-10-11 Revised:2024-12-12 Online:2025-05-20 Published:2025-06-05

摘要/Abstract

摘要： 目的：系统评价头颈癌患者重返工作岗位的体验及需求,为制订个性化重返工作岗位干预方案提供参考。方法：系统检索中国知网、万方数据库、维普中文科技期刊数据库、中国生物医学数据库、PubMed、Embase、Web of Science、MEDLINE、the Cochrane Library、CINAHL、APA PsycInfo数据库中关于头颈癌患者重返工作岗位的质性研究,检索时间为从建库起至2023年12月。采用JBI质性研究质量评价标准对文献质量进行评价,采用汇集性meta整合方法对结果进行整合。结果：共纳入12篇研究,提炼出65个研究结果,综合出3个整合结果,11个类别。整合结果包括症状困扰影响头颈癌幸存者工作状态和职业发展、头颈癌幸存者采取一系列应对措施以适应工作、社会支持对头颈癌幸存者重返工作岗位的重要性与不充分。结论：头颈癌幸存者在重返工作过程中受到多种因素阻碍,应加强症状管理,强化社会支持系统,识别头颈癌幸存者需求,制订针对性干预支持策略,促进头颈癌幸存者早日重返工作岗位。

关键词: 头颈癌, 重返工作, 需求, Meta整合, 质性研究

Abstract: PURPOSE: To systematically evaluate the return-to-work emotions and experiences of head and neck cancer survivors and help in developing the individualized return-to-work interventions. METHODS: A systematic search was conducted in CNKI, Wanfang database, VIP, China Biomedical Literature Service System, PubMed, Embase, Web of Science, MEDLINE, Cochrane Library, CINAHL, and APA PsycInfo databases for qualitative studies on the experiences of head and neck cancer survivors returning to work. The search period covered from the establishment of the databases to December 2023. The quality of the literature was evaluated by two investigators using The Joanna Briggs Institute Critical Appraisal Tool for Qualitative Research(2016) in Australia. The results were integrated using a pooled integration approach. RESULTS: Twelve studies were included, of which 65 were distilled and synthesized into three themes and 11 subthemes, including the importance and inadequacy of symptom distress affecting head and neck cancer survivors' work status and career progression, the coping measures by head and neck cancer survivors in order to adapt to work, and the importance and inadequacy of social support for head and neck cancer survivors to return to work. CONCLUSIONS: The survival of head and neck cancer patients is hampered by multiple factors when they return to work. Attention should be paid to the symptomatic burden and psychological state of head and neck cancer survivors. Symptom management should be strengthened, social support systems should be reinforced, and targeted intervention and support strategies should be formulated to promote the early return of head and neck cancer survivors to the workplace.

Key words: Head and neck cancer, Return to work, Needs, Meta-synthesis, Qualitative studies

中图分类号:

R739.8

杨盈, 曾维斯, 甘星, 李雨阳, 钱珍, 赵小妹, 侯黎莉. 头颈癌患者重返工作岗位体验及需求质性研究的meta整合[J]. 中国口腔颌面外科杂志, 2025, 23(3): 290-296.

Yang Ying, Zeng Weisi, Gan Xing, Li Yuyang, Qian Zhen, Zhao Xiaomei, Hou Lili. Emotions and experiences of head and neck cancer survivors returning to work: a meta-synthesis of qualitative studies[J]. China J Oral Maxillofac Surg, 2025, 23(3): 290-296.

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头颈癌患者重返工作岗位体验及需求质性研究的meta整合

Emotions and experiences of head and neck cancer survivors returning to work: a meta-synthesis of qualitative studies

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