男性对配偶围产期丧失体验的Meta整合

doi:10.3761/j.issn.0254-1769.2022.01.015

摘要/Abstract

摘要：

目的系统整合男性对配偶围产期丧失体验的质性研究,为制订相关心理干预措施提供依据。方法检索中国生物医学文献数据库、中国知网、PubMed、Web of Science、CINAHL、PsychINFO、Embase、Cochrane Library数据库及数据平台中有关男性对配偶围产期丧失体验的质性研究,检索时限为建库至2021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工具进行评价,采用汇集性整合方法进行整合分析。结果共纳入12篇文献,提炼出59个研究结果,归纳成11个类别,综合形成5个整合结果：存在多重情感体验、生活产生消极改变、采取不同类型的应对策略、面临的困境及需求、围产期丧失带来的益处。结论医护人员应打破对男性角色的刻板认知,积极关注男性对配偶围产期丧失的情感体验,联合家庭及医院,提供信息、环境、人文支持,减轻男性的照护压力,降低配偶围产期丧失对男性生活的消极影响,促进其个人成长。

关键词: 围产期丧失, 男性, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To synthesize the findings of qualitative research exploring men’s experiences of partner perinatal loss,and to provide a basis for constructing psychological interventions. Methods Literature retrieval of qualitative research on men’s experiences of partner perinatal loss was conducted in 8 databases,including SinoMed,CNKI,Web of Science,Pubmed,CINAHL,psychINFO,embase,Cochrane library,from the establishment of the databases to April 30,2021. The JBI Critical Appraisal Tool for qualitative studies from Australia was used to evaluate the methodology quality of the included research,and the meta-aggregation was used to conduct the synthesis. Results 12 qualified studies were included and integrated into 59 valuable findings. These findings were then classified into 11 categories under 5 groups,namely men’s complex emotional experience after perinatal loss,the negative changes in life,the different coping strategies,difficulties and needs,and the discovery of benefits. Conclusion Nurses should break up the stereotypes about males,pay more attention to their emotional experience in perinatal loss,and cooperate with their families to provide them with information,environment and humanistic support under the guidance of hospitals. In this way,it will be easier to reduce the males’ care burden and the negative impact of partner perinatal loss on their life,so as to promote their personal growth.

Key words: Perinatal Loss, Men, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

付子蔓, 王义婷, 蒲丛珊, 张莹莹, 张佳华, 单春剑. 男性对配偶围产期丧失体验的Meta整合[J]. 中华护理杂志, 2022, 57(1): 98-104.

FU Ziman, WANG Yiting, PU Congshan, ZHANG Yingying, ZHANG Jiahua, SHAN Chunjian. Men’s lived experiences of partner perinatal loss：a meta-synthesis of qualitative research[J]. Chinese Journal of Nursing, 2022, 57(1): 98-104.

图/表 4

图1 PubMed检索策略

Figure 1 The search strategy of PubMed

图2 文献筛选流程图

Figure 2 Flowchart of the study selection process

表1 纳入文献的基本特征 (n=12)

Table 1 The basic characteristics of the included studies (n=12)

表2 纳入文献的质量评价结果 (n=12)

Table 2 Methodological quality evaluation of the included studies (n=12)

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