中青年脑卒中患者疾病体验的Meta整合

doi:10.3761/j.issn.0254-1769.2021.06.007

摘要/Abstract

摘要：

目的系统评价中青年脑卒中患者的疾病体验和心理感受,为改善护理服务质量,提高该人群康复治疗效果和心理健康提供依据。方法 2020年7月,计算机检索PubMed、Embase、Web of Science、Cochrane Library、ProQuest、中国生物医学文献数据库、中国知网、万方、维普期刊数据库中关于中青年脑卒中患者真实经历、心理体验和感受的质性研究,检索时限为建库至2020年7月。文献质量评价采用澳大利亚乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）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研究结果进行归纳整合。结果共纳入14篇文献,提炼90个主题,归纳9个类别,形成3个主题：打破生活常态;寻求关注与支持;获得积极体验。结论护理人员应关注患者的消极心理,联合家庭与社会方面的支持,帮助患者树立信心,回归家庭与社会;护理人员需提高自身专业素养,为患者制订针对性康复计划,完善延续性护理服务,及时为患者提供专业支持;护理人员应重视患者积极心理体验,协助患者维持积极状态,实现良性循环。

关键词: 中青年, 脑卒中, 质性研究, Meta整合, 护理

Abstract:

Objective To systematically evaluate the disease experience and psychological feeling of young and middle-aged stroke patients,so as to provide theoretical bases for medical staff to meet the needs of patients,improve the quality of nursing services,and further improve the rehabilitation treatment effect and mental health of the population. Methods The computer retrieval was performed in PubMed,Embase,Web of Science,Cochrane Library,ProQuest,CBM,CNKI,WanFang Data,VIP for the qualitative research on real experience,psychological experience and feeling of young and middle-aged patients with cerebral apoplexy,with the retrieval time from inception to July 2020. The literature quality was evaluated using the qualitative research quality evaluation criteria of the Joanna Briggs Institute Evidence-based Health Care Center in Australia,and the research results were summarized and integrated using the pooled integration method. Results A total of 14 articles were included;90 themes were extracted;9 categories were summarized;3 integrated results were formed,namely breaking the normal life,seeking attention and support,getting a positive experience. Conclusion Nurses should pay attention to the negative psychological status of patients,unite family and social support to help patients build confidence and return to family and society. They also need to improve their professionalism,formulate targeted rehabilitation plans for patients,improve continuous nursing services,and provide timely professional support for patients. Special attention should also be given to the positive psychological experience of patients,so as to assist patients to maintain a positive state,and achieve a virtuous circle.

Key words: Young and Middle-Aged, Stroke, Qualitative Research, Meta-Synthesis, Nursing Care

弓少华,孙超,杨姮,易晓平,胡楠楠,张傲,陈闪闪,刘幼华,郭红. 中青年脑卒中患者疾病体验的Meta整合[J]. 中华护理杂志, 2021, 56(6): 843-851.

GONG Shaohua,SUN Chao,YANG Heng,YI Xiaoping,HU Nannan,ZHANG Ao,CHEN Shanshan,LIU Youhua,GUO Hong. The real experience of stroke patients in young and middle-age adults：a qualitative meta-synthesis[J]. Chinese Journal of Nursing, 2021, 56(6): 843-851.

图/表 4

图1 文献筛选流程

Figure 1 Literature screening process

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 纳入文献的方法学质量评价

Table 2 Methodological quality evaluation of the included literatures

图2 整合结果结构图

Figure 2 Structure diagram of integration results

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