Musculoskeletal symptoms experienced by breast cancer survivors during endocrine therapy: a qualitative systematic review and Meta-synthesis
10.3760/cma.j.cn211501-20241215-03456
- VernacularTitle:乳腺癌内分泌治疗患者骨关节症状体验质性研究的系统评价和Meta整合
- Author:
Lingyun JIANG
1
;
Feng JING
;
Yuling CAO
;
Maoting TIAN
;
Jiajia QIU
;
Lichen TANG
;
Yan HU
Author Information
1. 复旦大学护理学院，上海 200030
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Qualitative research;
Endocrine therapy;
Musculoskeletal symptoms;
Meta-aggregation
- From:
Chinese Journal of Practical Nursing
2025;41(25):1932-1944
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review qualitative studies on the experiences of musculoskeletal symptoms in breast cancer patients undergoing endocrine therapy, and to gain insights into the initiation, development, and effects of these symptoms, along with their implications for patients, to guide the creation of targeted strategies for symptom management.Methods:The qualitative studies on the experiences of musculoskeletal symptoms in breast cancer patients undergoing endocrine therapy were performed across several databases, which included the Cochrane Library, Joanna Briggs Institute Evidence based Healthcare Center Database, PubMed, Embase, CINAHL, Web of Science, Scopus, CNKI, Wanfang Data, and Chinese Biomedical Literature Database. The retrieval period was from the establishment of the database to April 30, 2024. The studies' quality was evaluated utilizing the iteration of the Joanna Briggs Institute Qualitative Assessment and Review Instrument designed for qualitative research. Data synthesis was carried out using Meta-aggregation techniques.Results:A total of 15 articles were included and 41 results were extracted, which were grouped into 11 new categories and integrated into 3 primary themes: the manifestation of bone and joint symptoms was highly unique and varied, prominently featuring experiences such as migratory joint pain, morning stiffness, and cramps affecting both large and small joints, frequently associated with functional limitations; these symptoms significantly influence patients' everyday activities and mental health, contributing to feelings of anxiety, avoidance behaviors, fear, and a reduction in overall quality of life; to manage the intricate nature of their symptoms, patients employ a variety of coping mechanisms, such as engaging in physical activity, taking dietary supplements, consulting about medications, and seeking support from external sources.Conclusions:During endocrine therapy for breast cancer, patients exhibit diverse characteristics of musculoskeletal symptoms, and the resulting fear of recurrence, avoidance behaviors, and anxiety have a negative impact on their psychological well-being and overall health. Healthcare professionals should take into account individual differences, such as age, menopausal status, type of endocrine therapy, medication adherence, and factors that may exacerbate or alleviate symptoms, in order to effectively predict, assess, and manage bone and joint symptoms during endocrine therapy.
