Objective:To systematically evaluate the illness experience of upper limb lymphedema in breast cancer patients.Methods:The studies were searched in CNKI, VIP, WanFang Database, CBM, CINAHL, PubMed, Web of Science, Cochrane Library and Embase. The retrieval period was from the database construction to January 7, 2022. The quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center in Australia was used to evaluate the quality of the literature. Meta integration method was used to synthesize the results.Results:A total of 10 articles were included, and 40 results were extracted, which were classified into 8 new categories and integrated into 3 integrated results, namely, the impact of lymphedema on patients and family members, perception and coping of patients with lymphedema and patients craved support from all sides.Conclusions:Medical staff should strive to improve professional service level, help patients improve the attention level of lymphedema and self-management ability. The family and society should provide more care and support to patients so as to improve their quality of life.

Objective:To explore the level and influencing factors of kinesiophobia in patients with coronary heart disease using meta-analysis, so as to provide references for formulating intervention strategies to reduce the level of kinesiophobia.Methods:The literatures on the level of kinesiophobia and its influencing factors in patients with coronary heart disease were searched from CNKI, VIP, Wanfang, PubMed and other databases from estabishment of the databases to May 19, 2023. The included studies were analyzed by Stata 15.1.Results:A total of 20 articles were included. The Meta-analysis results showed that patients with coronary heart disease had a high level of kinesiophobia, with a total score of 42.76 [95% CI (40.72, 44.80) ] . Gender [ MD=-2.39, 95% CI (-3.35, -1.44) , P<0.001] , method of payment for hospital care [ MD=2.38, 95% CI (1.09, 3.67) , P<0.001] , cardiac function [ MD=-9.72, 95% CI (-14.45, -4.99) , P<0.001] , with or without experience of cardiac surgery [ MD=3.42, 95% CI (1.58~5.26) , P<0.001] , number of stent [ MD=-4.82, 95% CI (-9.09, -0.55) , P=0.027] , drinking status [ MD=-3.54, 95% CI (-5.03, -2.04) , P<0.001] , self-perceived burden [ Summary r=0.36, 95% CI (0.31, 0.41) , P<0.001] and self-efficacy [ Summary r=-0.60, 95% CI (-0.75, -0.38) , P<0.001] were the factors influencing the level of kinesiophobia. Conclusions:The level of kinesiophobia in patients with coronary heart disease is high. Medical staff need to provide targeted interventions based on the characteristics of the population to reduce the kinesiophobia level of patients.

Objective:To systematically review the real experience of type 1 diabetes in adolescents.Methods:The qualitative research on the experience of type 1 diabetes in adolescents was electronically searched in PubMed, Web of Science, Embase, EBSCO, Cochrane Library, China Biology Medicine disc, WanFang Database, China National Knowledge Infrastructure, and VIP. The search period was from database establishment to July 2023. Two evidence-based trained researchers independently conducted literature screening and data extraction, and the results were integrated using the Meta-synthesis.Results:A total of 13 articles were included, 42 results were extracted and classified into 11 categories, which were integrated into four results, namely disease perception, complex psychological experiences, disease management, and post-traumatic growth.Conclusions:The awareness and psychological experience of type 1 diabetes in adolescents should be paid attention to. Medical institutions, families and schools should provide all-round support for adolescents with type 1 diabetes to help them enhance their disease self-management, improve their health outcomes and promote their post-traumatic growth.