关键词: 左心室辅助装置, 家庭照顾者, 居家照护, 照护体验, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate qualitative studies on the home care experiences of family caregivers of patients with left ventricular assist device implantation，and to provide a reference for developing individualized support strategies. Methods A comprehensive computer search was conducted in domestic and foreign electronic databases for articles related to the caring experience of family caregivers of patients with left ventricular assist device implantation. The search time frame was limited from the inception of database through July 2025. Literature quality was evaluated using the Australian JBI Centre for Evidence-Based Health Care Literature Quality Assessment Criteria for Qualitative Research，and the results were integrated by the aggregative integration method. Results A total of 11 studies were included，from which 50 findings were extracted，categorized into 9 new categories and further synthesized into 3 integrated outcomes：significant physical and mental exhaustion under the heavy burden of caregiving，difficulties and challenges in the caregiving process，adaptation and growth of caregiving roles. Conclusion Family caregivers of patients with left ventricular assist device implantation face complex physical and mental challenges and many difficulties and needs during home care. A multi-dimensional support system can be established in the future，including psychological support，professional guidance and remote care，to provide comprehensive healthcare services for patients and their families，to help caregivers adapt to and transform their roles and improve their quality of care and life.

Key words: Left Ventricular Assist Device, Family Caregiver, Home Care, Caring Experience, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing