目的:由于流行病学转变和人类发展指数的变化,亚洲乳腺癌的发病率显着增加。医疗技术的进步改善了预后,从而增加了生存问题。乳腺癌的诊断和治疗效果受患者的文化信仰和社会制度的影响。本范围审查旨在总结亚洲乳腺癌女性的担忧和应对机制,并了解现有文献中的差距。
方法:我们使用人口概念背景策略进行了范围审查。对MEDLINE(PubMed,WebofScience),CINAHL,Scopus,Embase在亚洲对被诊断患有乳腺癌的女性进行了研究,确定他们的担忧和应对机制,在2011年1月至2021年1月之间发布。纳入研究的数据使用频率和百分比进行报告。
结果:我们纳入了163项研究,其中大部分(81%)在医院环境中进行。80%的研究报告了情绪和心理问题,其次是46%的人对身体外观和身体形象的关注。社会支持(59%)基于情绪的应对(46%),灵性,以问题为基础的应对(37%)是主要的应对系统。
结论:映射文献记录了焦虑,抑郁症,对癌症复发的恐惧主导了女性的情感担忧。妇女在社会支持的帮助下应对,积极的重新评估,对上帝和宗教的信仰。照顾者的致敏,包括医疗保健专业人员和家庭成员,针对特定环境的关注和对患者可用支持系统的调查对于加强乳腺癌妇女的康复和应对至关重要。
OBJECTIVE: The incidence of breast cancer has increased significantly in Asia due to epidemiological transition and changes in human development indices. Advancement in medical technology has improved prognosis with a resultant increase in survivorship issues. The effects of breast cancer diagnosis and treatment are influenced by the patient\'s cultural beliefs and social systems. This scoping review aims to summarise concerns and coping mechanisms of women with breast cancer in Asia and understand gaps in the existing literature.
METHODS: We performed a scoping review using the population-concept-context strategy. A systematic search of MEDLINE (PubMed, Web of Science), CINAHL, SCOPUS, and Embase was conducted for studies conducted in Asia on women diagnosed with breast cancer, identifying their concerns and coping mechanisms, published between January 2011 and January 2021. Data from included studies were reported using frequencies and percentages.
RESULTS: We included 163 studies, of which most (81%) were conducted in hospital settings. Emotional and psychological concerns were reported in 80% of studies, followed by physical appearance and body-image concerns in 46%. Social support (59%), emotion-based coping (46%), spirituality, and problem-based coping (37%) were the major coping systems documented.
CONCLUSIONS: The mapped literature documented that anxiety, depression, and fear of cancer recurrence dominated women\'s emotional concerns. Women coped with the help of social support, positive reappraisal, and faith in God and religion. Sensitization of caregivers, including healthcare professionals and family members, to context-specific concerns and inquiry into the patients\' available support systems is essential in strengthening breast cancer women\'s recovery and coping.