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A Meta-Ethnography of the Experiences of Adults with Lymphoma During Acute and Chronic Survivorship
Seminars in Oncology Nursing ( IF 2.2 ) Pub Date : 2021-03-24 , DOI: 10.1016/j.soncn.2021.151142
Joseph A Vena 1 , Linda C Copel 1
Affiliation  

Objectives

The acute and chronic phases of cancer survivorship are the periods of treatment, post-treatment, and early remission. During acute and chronic survivorship, adults with lymphoma have reported both positive and negative changes in health-related quality of life. This meta-ethnography aims to appraise the experiences of adults with lymphoma at the acute and chronic survivorship phases.

Data Sources

This qualitative review used the established meta-ethnography framework from Noblit and Hare and is outlined following the meta-ethnography reporting guidance (eMERGe). A systematic literature search using four unique databases was completed, including the Cumulative Index to Nursing and Allied Health Literature, PubMed, Ovid Emcare, and Clarivate Web of Science.

Conclusion

In total, nine research studies were included in this review. Study characteristics and sample evidence were extracted from the included studies to produce the synthesis. The review and synthesis formed three main themes and six subthemes that reflect the challenges of cancer treatment and post-treatment, the communication and support from others, and how lymphoma patients reframe and reprioritize during and following treatment.

Implications for Nursing Practice

This meta-ethnography provides a comprehensive analysis of adults’ experiences with lymphoma at the acute and chronic survivorship phases. Several approaches for the management and care of lymphoma patients were found in this review, including integrating patient support groups from diagnosis through post-treatment, tailored psychological health care services, personalized care and delivery pathways at post-treatment, and the promotion of strategies to cope with cancer in remission. Additional research should examine younger and older adults to discover age-related issues in lymphoma populations in addition to disparities among minority patients with lymphoma and those from low socioeconomic backgrounds.



中文翻译:

淋巴瘤成人急性和慢性生存期经历的元民族志

目标

癌症存活的急性期和慢性期是治疗期、治疗后期和早期缓解期。在急性和慢性存活期间,患有淋巴瘤的成年人报告了与健康相关的生活质量的积极和消极变化。该元民族志旨在评估成人淋巴瘤患者在急性和慢性生存期的经历。

数据源

该定性审查使用了 Noblit 和 Hare 的既定元人种学框架,并按照元人种学报告指南 (eMERGe) 进行了概述。完成了使用四个独特数据库的系统文献搜索,包括护理和相关健康文献累积索引、PubMed、Ovid Emcare 和 Clarivate Web of Science。

结论

本综述总共包括九项研究。从纳入的研究中提取研究特征和样本证据以进行合成。回顾和综合形成了三个主要主题和六个子主题,反映了癌症治疗和治疗后的挑战、他人的交流和支持,以及淋巴瘤患者在治疗期间和治疗后如何重新定位和重新确定优先级。

对护理实践的影响

该元人种志对成人在急性和慢性生存期的淋巴瘤经历进行了全面分析。本综述发现了几种淋巴瘤患者的管理和护理方法,包括整合从诊断到治疗后的患者支持小组、量身定制的心理保健服务、治疗后的个性化护理和交付途径,以及促进策略应对缓解期的癌症。除了少数族裔淋巴瘤患者和来自低社会经济背景的患者之间的差异之外,其他研究还应检查年轻人和老年人,以发现淋巴瘤人群中与年龄相关的问题。

更新日期:2021-05-09
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