中华护理杂志 ›› 2024, Vol. 59 ›› Issue (2): 219-227.DOI: 10.3761/j.issn.0254-1769.2024.02.014
于万慧(), 崔朝妹, 迟嘉婧, 靳子恒, 苟晓瑜, 李梦洁, 卢楠, 杨丽娟()
收稿日期:
2023-05-17
出版日期:
2024-01-20
发布日期:
2024-01-15
通讯作者:
杨丽娟,E-mail:sdyanglijuan@aliyun.com作者简介:
于万慧:女,本科(硕士在读),护士,E-mail:1169350268@qq.com
YU Wanhui(), CUI Zhaomei, CHI Jiajing, JIN Ziheng, GOU Xiaoyu, LI Mengjie, LU Nan, YANG Lijuan()
Received:
2023-05-17
Online:
2024-01-20
Published:
2024-01-15
摘要:
目的 系统评价先天性心脏病(congenital heart disease,CHD)青少年向成人过渡治疗及护理体验的质性研究,为制订CHD青少年向成人过渡治疗及护理管理方案提供参考。方法 计算机检索PubMed、Embase、Web of Science、Cochrane Library、EBSCO、CINAHL、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于CHD青少年向成人过渡治疗及护理体验的质性研究,检索时限为建库至2023年4月。使用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(2016)评价文献质量,采用Meta整合方法对结果进行整合。结果 共纳入9篇文献,提炼出49个研究结果,最终归纳为11个类别,综合为4个整合结果。①态度复杂,依恋和期待并存:依恋儿科医疗机构;期待过渡到成人医疗机构。②面临多种挑战:缺乏充分的向成人过渡的准备;父母退出疾病管理者角色;儿科、成人医疗机构的服务存在较大差异。③期望获得多种支持:期望获得医护人员全面的健康教育;期待医疗机构设立咨询门诊、实现病情交接;期望获得父母的陪伴和支持;期望获得同伴的理解和帮助。④感知到向成人过渡的益处:疾病管理能力增强;角色改变和个人成长。结论 CHD青少年向成人过渡治疗及护理体验复杂,医护人员应关注其感受,鼓励其积极应对挑战,提供充足的信息,并联合父母及同伴给予支持,以促进青少年向成人顺利过渡。
于万慧, 崔朝妹, 迟嘉婧, 靳子恒, 苟晓瑜, 李梦洁, 卢楠, 杨丽娟. 先天性心脏病青少年向成人过渡治疗及护理体验的Meta整合[J]. 中华护理杂志, 2024, 59(2): 219-227.
YU Wanhui, CUI Zhaomei, CHI Jiajing, JIN Ziheng, GOU Xiaoyu, LI Mengjie, LU Nan, YANG Lijuan. Experience of medical transition from adolescents with congenital heart disease to adults:a meta-synthesis of qualitative research[J]. Chinese Journal of Nursing, 2024, 59(2): 219-227.
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