脑卒中患者积极心理体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2022.05.016

摘要/Abstract

摘要：

目的分析与评价脑卒中患者的积极心理体验,为其心理护理提供可靠依据。方法检索PubMed、Web of Science、Embase、CINAHL、PsycINFO、中国知网、万方数据知识服务平台、维普数据库、中国生物医学数据库等中英文数据库,检索有关脑卒中患者内心积极心理体验质性研究的文献,检索时限为建库至2021年4月。采用2016版澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准进行文献质量评价,采用Meta整合方法对结果进行整合。结果共纳入14项研究,提炼65个结果,归纳成12个新的类别,并综合成3个整合结果。①积极应对的态度和心理：接受并适应脑卒中,感到幸运和感激,乐观积极地面对现状,强大的精神力量,对未来的目标和希望。②卒中后的积极改变：健康意识的增强,更加亲密和谐的人际关系,个人成长,有关生活哲学的新思考。③积极心理的支持因素：个人层面的积极应对策略,家人、朋友、同伴等社会支持,医疗系统的社会支持。结论脑卒中患者在患病后会有积极的心理体验与改变,护理人员应多关注患者的心理状态及其积极心理的支持因素,满足其心理需求,帮助患者强化社会支持系统,维持积极的心理状态,促进患者康复,提高生活质量。

关键词: 脑卒中, 积极心理学, 质性研究, 系统评价, 心理护理学

Abstract:

Objective To analyze and evaluate the positive psychological experience of stroke patients to provide reliable bases for their psychological nursing. Methods Chinese and English databases,such as PubMed,Web of Science,Embase,CINAHL,PsycINFO,CNKI,Wanfang Database,VIP,and CBM,were searched,and the literature on the qualitative research on the inner positive psychological experience of stroke patients was retrieved. The time limit of the retrieval was from the establishment to April 2021. The literature quality was evaluated using the 2016 Australian JBI Evidence-Based Health Care Center Quality Evaluation Criteria for Qualitative Research,and the results were consolidated using meta integration method. Results A total of 14 studies were included,and 65 results were extracted and summarized into 12 new categories,which were combined into 3 integrated results. （1）Positive coping attitude and psychology：accepting and adapting to stroke,feeling lucky and grateful,optimistic and positive to face the situation,strong spiritual strength,goals and hope for the future;（2）Positive changes after stroke：increasing health awareness,more intimate and harmonious interpersonal relationships,personal growth,new thinking about the philosophy of life;（3）Support factors of positive psychology;positive coping strategies at the individual level,social support from family,friends and peers,social support from the medical system. Conclusion Existing evidence suggests that patients with cerebral apoplexy after stroke will have a positive psychological experience and change. Nursing staff should pay more attention to the patient’s psychological state and the support of the positive psychology factors,meet their psychological needs,help patients strengthen social support system,and maintain a positive mental state,in order to promote patients to recover and improve the quality of life.

Key words: Stroke, Positive Psychology, Qualitative Research, Systematic Review, Psychological Nursing

张傲, 赵培玉, 胡楠楠, 关维维, 李荔, 弓少华, 陈闪闪, 郭红. 脑卒中患者积极心理体验质性研究的Meta整合[J]. 中华护理杂志, 2022, 57(5): 617-624.

ZHANG Ao, ZHAO Peiyu, HU Nannan, GUAN Weiwei, LI Li, GONG Shaohua, CHEN Shanshan, GUO Hong. Positive psychological experience of stroke patients：a qualitative meta-synthesis[J]. Chinese Journal of Nursing, 2022, 57(5): 617-624.

图/表 3

表1 纳入文献的基本特征（n=14）

Table 1 The basic characteristics of the included literature（n=14）

表2 入研究的方法学质量评价(n=14)

Table 2 Methodological quality evaluation of the included literature(n=14)

图1 整合结果结构图

Figure 1 Structure diagram of integration results

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