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目的 探讨分析癌症患者存在痛苦的概念及内涵。方法 系统检索PubMed、CINAHL、Cochrane Library、Embase、Web of Science、中国知网、中国生物医学文献服务系统、万方数据库和维普数据库中与癌症患者存在痛苦相关的研究，检索时限从建库至2024年11月14日。采用Walker和Avant概念分析法进行分析。结果 共纳入50篇文献。癌症患者存在痛苦包括4个定义属性：缺乏意义感、自主性丧失、尊严丧失及绝望；其前置因素包括社会人口学特征、疾病相关因素、心理因素和社会支持因素；后置影响为影响患者生活质量、导致消极情绪和增加自杀风险。结论 通过概念分析，正确理解癌症患者存在痛苦定义属性、前置因素和后置影响，为开发具有针对性的评估工具和早期识别与构建符合我国文化背景的本土化癌症患者存在痛苦干预方案提供参考依据。
Abstract：Objective To explore and analyze the concept and connotation of the existential distress in cancer patients.Methods The studies related to existential distress of cancer patients in PubMed, CINAHL, Cochrane Library, Embase, Web of Science, CNKI, CBM, WanFang databases, and VIP were systematically searched, and the search time was from the inception of databases to November 14, 2024.The Walker and Avant conceptual analysis methods were adopted for analysis.There were 4 attributes were identified on exsitential distress of cancer patients, including: Lack of meaning, loss of autonomy, loss of dignity, and despair; The antecedent factors included socio-demographic characteristics, disease-related factors, psychological factors, and social support factors; The after-effects included affecting the patient's quality of life, leading to negative emotions, and increasing the risk of suicide. Conclution Through concept analysis, the defining attributes, antecedents and consequences of existential distress in cancer patients can be correctly understanded, and provide reference for the development of targeted assessment tools and early identification and construction of localized intervention plans for the existential distress of cancer patients in line with Chinese cultural background.
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基本信息:
DOI：10.16821/j.cnki.hsjx.2025.13.002
中图分类号:R473.73
引用信息:
[1]谢雅静,王晓路,高娅妮等.癌症患者存在痛苦的概念分析[J].护士进修杂志,2025,40(13):1349-1354.DOI:10.16821/j.cnki.hsjx.2025.13.002.
基金信息:
兰州市科技计划项目(编号：2023-ZD-177); 甘肃中医药大学研究生教育专项项目(编号：312107030103)