脑卒中患者医院-家庭过渡期疾病体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2024.16.016

摘要/Abstract

摘要：

目的系统评价脑卒中患者在医院-家庭过渡期的真实经历，以期为临床更好地开展过渡期护理提供参考。方法计算机检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中关于脑卒中患者医院-家庭过渡期真实经历的质性研究，检索时限为建库至2023年10月。文献质量评价采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版），采用汇集性整合方法对结果进行整合。结果共纳入14篇文献，提炼出48个研究结果，归纳为9个类别，综合为3个整合结果：出院准备期处于矛盾之中；出院后生活发生改变，存在多种过渡障碍因素；积极应对疾病，经历自身成长。结论脑卒中患者的医院-家庭过渡期是患者康复的关键时期，医护人员应加强过渡期出院准备服务的实施，加强医院与家庭和社区衔接，关注患者心理体验，以帮助脑卒中患者实现从医院到家庭的顺利过渡。

关键词: 脑卒中, 医院-家庭过渡期, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate the real-life experience of stroke patients in the hospital-home transition period，and to provide a reference for better clinical development of transitional nursing practice. Methods We searched PubMed，Web of Science，Embase，CINAHL，Cochrane library，CNKI，Wanfang Data，VIP database，and China Biomedical Literature Database for qualitative studies on the real experience of stroke patients in the hospital-to-home transition period from the establishment of the database to October 2023. The quality of the literature was evaluated using the Joanna Brigg Institute（JBI） Australian Centre for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research（2016），and the results were integrated using meta-integration methods. Results A total of 14 studies were included，and 48 research results were extracted and 9 categories were summarized. The final synthesis included 3 integrated results：the discharge preparation period was in contradiction；after being discharged from the hospital，life changed dramatically and there was a variety of transition barriers；active response to illness and the experience of self-growth. Conclusion The hospital-home transition period for stroke patients is a critical period for patients’ rehabilitation，and medical staff should strengthen the implementation of the transitional discharge plan，strengthen the connection between hospitals and families and communities，pay attention to the psychological experience of patients，so as to help stroke patients achieve a smooth transition from hospital to home.

Key words: Stroke, Hospital to Home Transition, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

郭张慧, 段煜, 屈简妮, 焦萌, 陈颖宇, 孙超, 郭红. 脑卒中患者医院-家庭过渡期疾病体验质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(16): 2030-2036.

GUO Zhanghui, DUAN Yu, QU Jianni, JIAO Meng, CHEN Yingyu, SUN Chao, GUO Hong. Experience of hospital-to-home transition in stroke patients：a qualitative meta-synthesis[J]. Chinese Journal of Nursing, 2024, 59(16): 2030-2036.

图/表 4

图1 PubMed检索式

Figure 1 PubMed search query

图2 文献筛选流程

Figure 2 Literature screening process

表1 纳入文献的基本特征（n=14）

Table 1 Basic characteristics of included studies（n=14）

表2 纳入文献的方法学质量评价（n=14）

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

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