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The Experiences and Needs of Patients With Malignant Fungating Wounds: A Meta-Synthesis of Qualitative Studies
Xiaoyu Yang1, Shanshan Jiang2, Rong Wang2
1Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Aims:
To synthesize existing qualitative research on the life experiences and needs of patients with malignant fungating wounds, and to provide a theoretical foundation for developing patient-centred wound care plans.
Design:
A systematic review of qualitative studies.
Data Sources:
A systematic search of PubMed, Web of Science, Cochrane Library, Embase, CINAHL, PsycINFO, CNKI, WanFang, and VIP was conducted to identify relevant studies from database inception to August 2024.
Review Methods:
This review adhered to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines.
Results:
A total of 12 qualitative studies were included. Five major themes were identified: physiological limitations, psychological alterations, social challenges, disease management needs, and support and care needs.
Conclusion:
Patients with malignant fungating wounds face multidimensional challenges that profoundly compromise their quality of life. Comprehensive care for patients with malignant fungating wounds should be delivered through multidisciplinary collaboration, encompassing symptom management, psychological support, health education, and financial assistance.
Impact:
This study synthesizes qualitative evidence on the complex experiences and needs of patients with malignant fungating wounds, highlighting the profound physical, psychological, and social challenges they encounter. The findings provide valuable insights to support oncology and wound care professionals in designing personalized, patient-centred care strategies.
Trial Registration:
PROSPERO CRD42024578946.
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