老年人应对慢性病共病体验的Meta整合

doi:10.3761/j.issn.0254-1769.2022.06.016

摘要/Abstract

摘要：

目的系统评价老年人应对慢性病共病的体验。方法检索PubMed、Cochrane Library、Web of Science、Embase、中国知网、万方数据库、维普中文期刊全文数据库,检索时限为建库至2021年8月,检索老年人应对慢性病共病体验的质性研究文献,依据2016版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评价文献质量,采用Meta整合方法分析结果。结果共纳入15篇文献,提炼出60个研究结果,整合成10个新的类别,综合为3个整合结果：慢性病共病协同衰老所致改变;对慢性病共病的反思和反应;调适以维持正常生活。结论慢性病共病协同衰老给老年人生活造成多方面的挑战,医护人员应关注其对共病不同应对方式,重视源于其智慧总结的应对策略,设计、开发可行的应对共病的干预性支持项目。

关键词: 老年人, 慢性病共病, 多病共存, Meta整合, 应对, 调适, 护理

Abstract:

Objective To systematically evaluate the experience of elderly patients on coping with multiple chronic conditions（MCCs）.Methods Pubmed,the Cochrane Library,Web of Science,EmBase,CNKI,Wanfang Database and VIP database were searched for qualitative research studies on experience of elderly patients with MCCs. The retrieval period was from inception to August 2021. The Joanna Briggs Institute Critical Appraisal Tool for qualitative research（2016） in Australia was used to evaluate quality of the studies. A meta-synthesis method was used to integrate the results.Results A total of 15 studies were included;60 findings were extracted;10 cate-gories were summarized;3 integrated results were formed,namely changes caused by MCCs and aging,reflection and response to MCCs,adjusting to a normal life.Conclusion Aging with MCCs brings many challenges to the life of elderly patients. Health professionals should pay attention to the different coping styles of patients with MCCs,and develop feasible and support programs to help them better cope with MCCs which derived from their wisdom.

Key words: Aged, Multiple Chronic Conditions, Multimorbidity, Meta-Synthesis, Coping, Adjustment and Adaptation, Nursing Care

孙柳, 王莹, 梁嘉贵, 陈少华, 刘均娥. 老年人应对慢性病共病体验的Meta整合[J]. 中华护理杂志, 2022, 57(6): 748-755.

SUN Liu, WANG Ying, LIANG Jiagui, CHEN Shaohua, LIU June. Experience of the elderly coping with multiple chronic conditions：a qualitative meta-synthesis[J]. Chinese Journal of Nursing, 2022, 57(6): 748-755.

图/表 4

图1 文献检索及筛选结果

Figure 1 Literature retrieval and screening process

表1 纳入文献的基本特征

Table 1 The basic characteristics of the included literatures

表2 纳入文献的方法学质量评价

Table 2 Methodological quality evaluation of included literatures

图2 纳入的研究结果、类别、整合结果结构图

Figure 2 Results, categories and integrated results of included literatures

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