关键词: 预立医疗照护计划；肿瘤；质性研究；Meta整合

Abstract: Objective: To synthesize qualitative studies on cancer patients and families' experience about Advance Care Planning (ACP), so as to provide references for the clinical implementation of ACP. Methods: We searched databases including PubMed, CINAHL, Web of Science, Embase, PsycINFO (Ovid), CBM, CNKI, Wan Fang Data and VIP from inception to February 2020 to collect qualitative studies on cancer patients and families' experience about ACP. We use JBI Critical Appraisal Checklist for Qualitative Research to evaluate the quality of literature. After quality assessment, Meta-synthesis was used to summarize and explain the results. Results: Eight qualitative studies were included involving 33 results and eight categories. Three integrated themes were extracted: Acceptance of ACP by patients and their families; Feelings of cancer patients and their families towards ACP and Advices for implementation of ACP. Conclusion: There are ambivalent feelings among cancer patients and their families who involved in ACP. Initially they usually confront ACP but have positive feelings after acceptance. The awareness and acceptance of ACP among our citizens could be enhanced by publicity of the whole society. Individualized assessment by medical personnel and appropriate decision aid models to implement ACP should be offered to ultimately improve end-of-life quality of cancer patients.

Key words: Advance Care Planning; cancer; qualitative research; Meta-synthesis