目的 全面了解老年癌症患者在被告知病情过程中的偏好，为医护人员在临床实践中对老年癌症患者的病情告知提供参考依据。方法 计算机检索PubMed、Web of science、The Cochrane Library、Embase、EBSCO、中国知网、维普、万方等数据库中有关老年癌症患者病情告知偏好的质性研究文献，检索时限为建库至2022年7月，采用JBI(Joanna Briggs Institute)质性研究质量评价工具进行文献质量评价，并对文献进行Meta整合。结果 共纳入15项研究，将文献提取出的27个主题归纳成10个新的类别，综合成3个整合结果，即告知方式偏好；告知内容偏好；告知过程的支持偏好。结论 医护人员及家属应重视老年癌症患者在病情告知过程中的多元化偏好，提供多方面的支持和帮助，从而有效提升老年癌症患者依从性、治疗效果与预后。

Objective To comprehensively understand the preferences of elderly cancer patients in the process of disclosure, so as to provide reference for medical staff to disclose patients’medical condition in clinical practice. Methods PubMed, Web of Science, The Cochrane Library, Embase, EBSCO, CNKI, cqVIP, Wanfang Data were searched on the qualitative study on preferences of disclosure in elderly cancer patients. The search was conducted from the establishment of the databases to July 2022. The quality of the literature was evaluated by the Joanna Briggs Institute tool, and the literature was meta-integrated. Results A total of 15 studies were included, and 27 themes extracted from the literatures were categorized into 10 new categories, which were integrated into 3 synthesized results: preferences for disclosure methods, preferences for disclosure content, and preferences for support during the disclosure process. Conclusions Medical staff and family members should pay attention to the diverse preferences of elderly cancer patients during the disclosure process, and provide multifaceted support, so as to effectively improve the compliance, treatment efficacy and prognosis of elderly cancer patients.

R471

国家社会科学基金（21CSH026）