社会工作与管理 ›› 2025, Vol. 25 ›› Issue (5): 1-14,22.

• 社会工作 •    下一篇

老年癌症患者成年子女照护经历：基于中美两国质性研究的系统评价和Meta整合

何龙韬1, 彭华民2   

  1. 1. 西南财经大学社会发展研究院，四川 成都，611130;
    2. 南京大学社会学院，江苏 南京，210023
  • 收稿日期:2024-09-16 出版日期:2025-09-15 发布日期:2025-09-15
  • 通讯作者: 彭华民(1957—　)，女，汉族，教授，博士；主要研究方向：社会福利，社会工作；Email：penghm@nju.edu.cn。 E-mail:penghm@nju.edu.cn
  • 作者简介:何龙韬(1986—　 )，男，汉族，副教授，博士；主要研究方向：定性社会医学，中国儒家伦理，循证社会医学，医务社会工作。
  • 基金资助:
    国家社会科学基金后期资助重点项目“人口老龄化背景下的临终关怀社会工作研究”(23FSHA002)；四川省哲学社会科学基金后期资助项目“构建中国安宁疗护社会工作实证与循证实践框架研究”(SCJJ23HO37)；中央高校基本科研业务费年度培育项目“中国传统文化融入老年人临终关怀社会工作本土路径研究”(JBK2406119)。

The Caregiving Experiences of Cancer Patients’ Family Caregivers: Based on the Qualitative Meta-Synthesis of Chinese and American Qualitative Studies

HE Longtao1, PENG Huamin2   

  1. 1. Research Institute of Social Development, Southwestern University of Finance and Economics, Chengdu, Sichuan, 611130, China;
    2. Department of Social Work and Social Policy, Nanjing University, Nanjing, Jiangsu, 210023, China
  • Received:2024-09-16 Online:2025-09-15 Published:2025-09-15

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摘要： 质性Meta整合方法能够更全面、更深入地了解不同文化语境中家庭照护者的共性与异质性经历，从而为中国构建支持家庭照护者群体的社会工作介入框架提供比较层面的实证支持。文章运用质性Meta整合方法，最终纳入关于中美两国老年癌症患者成年子女家庭照护者照护经历的文献32篇(关于中国照护者的文献19篇、关于美国照护者的文献13篇)，整合了负性体验、适应与积极体验、既有支持、照护需求四个共性的一级主题，以及若干二级和三级主题。研究发现，影响中美两国老年癌症患者成年子女照护经历异质性的元素主要体现在二级和三级主题层面，与之相关的四个主要结构因素为与癌症和照护相关的文化、专业医疗服务系统、就业保障与医疗保险体系、信仰体系。建议社会工作者从个体支持、本土文化语境、医疗体系整合及政策倡导四个维度入手，为中国照护者提供全面支持。

关键词: 癌症, 老年人, 家庭照护者, 质性Meta整合

Abstract: Population aging and the increasing cancer rates in both China and the United States have drawn significant scholarly attention to the caregiving issues in cancer patients’ families. However, few research has synthesized and compared the caregiving experiences of cancer patients’ family members in these two countries. Qualitative Meta-Synthesis is suitable to examine the homogeneity and heterogeneity of family caregiving experiences in the two countries, providing empirical data to construct a comprehensive support system for family caregivers in China. Adopting Qualitative Meta-Synthesis method, this study includes 32 relevant studies: 19 focusing Chinese family caregivers, 13 on American family caregivers. Four primary themes are identified, that includes negative experience, positive experience, existing support, care needs, each with various secondary and tertiary themes. The diversity of caregiving experiences in the two countries is highlighted through these secondary and tertiary themes. We have also identified four main structural elements contributing to this heterogeneity: cultural factors related to cancer and caregiving, healthcare systems, employment security, health insurance systems, and belief systems.

Key words: cancer, elders, family caregivers, Qualitative Meta-Synthesis

中图分类号: 

  • C916
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