Meta-synthesis of fertility preservation decision-making experience for cancer patients of childbearing age
10.3760/cma.j.cn115682-20230302-00773
- VernacularTitle:育龄期癌症患者生育力保存决策体验的Meta整合
- Author:
Aiqun LI
1
;
Yuxin ZHANG
;
Hongjiao CHEN
;
Pin LI
;
Yangyang WANG
;
Yuanyuan JIANG
;
Yimin CAI
Author Information
1. 湖南师范大学医学院护理系,长沙 410013
- Keywords:
Cancer;
Childbearing age;
Fertility preservation;
Decision-making experience;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2023;29(25):3386-3393
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically integrate qualitative research on the decision-making experience of fertility preservation in cancer patients of childbearing age, so as to provide evidence-based basis for improving patients' fertility preservation decision-making ability and formulating targeted intervention plans.Methods:Qualitative research on the decision-making experience of fertility preservation in cancer patients of childbearing age was systematically searched on PubMed, Web of Science, Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI) , Wanfang Database, VIP and China Biology Medicine disc. The search period was from database establishment to December 2, 2022. The quality of literature was evaluated using the quality evaluation criteria for qualitative research of the Australia Joanna Briggs Institute Evidence-Based Health Care Center. The results were integrated using the Meta-synthesis method.Results:A total of 11 articles were included, 28 results were extracted, summarized into 6 categories, and formed 3 integrated results. The integration results included the challenges and opportunities faced by fertility preservation decision-making, fertility preservation decision-making was influenced by individual, family and social factors, and lack of sufficient decision-making support.Conclusions:Cancer patients of childbearing age lack decision-making support for fertility preservation and face decision-making difficulties. Medical and nursing staff should comprehensively evaluate the fertility needs of cancer patients of childbearing age, pay attention to their cognition and experience, provide professional fertility counseling, and help patients make high-quality decision-making.