老年衰弱患者真实体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2023.23.016

摘要/Abstract

摘要：

目的系统整合老年衰弱患者的真实体验，为制订针对性的干预策略提供参考依据。方法通过计算机检索Cochrane Library、PubMed、Embase、Web of Science、CINAHL、Proquest、中国知网、万方数据库、维普期刊数据库、中国生物医学文献数据库中关于老年衰弱患者真实体验的质性研究，检索时限为建库至2023年2月25日。结果共纳入14篇文献，提炼出56个原始研究结果，归纳为12个类别，形成4个整合结果：衰弱对老年患者日常生活的负面影响；衰弱对老年患者心理状态的负面影响；老年衰弱患者积极应对衰弱的多维影响；老年衰弱患者存在未满足需求。结论医护人员应关注衰弱患者的多维影响，重视老年衰弱患者的真实需求，探索患者参与的衰弱管理形式，并不断优化衰弱管理方案，提升照护服务的可及性与连续性。

关键词: 老年人, 衰弱, 体验, 质性研究, Meta整合, 循证护理

Abstract:

Objective To systematically evaluate the real experience of frailty in elderly patients to provide a reference for formulating targeted intervention strategies. Methods The Cochrane Library，PubMed，Embase，Web of Science，CINAHL，Proquest，CNKI，Wanfang，VIP，and CBM were searched by computer for qualitative studies on the experience of frailty in elderly patients，and the search period was from the establishment of the databases to February 25，2023. Results A total of 14 papers were included，and 56 primary research findings were extracted and grouped into 12 categories，resulting in 4 integrated findings：the negative impacts in daily lives of frailty in elderly patients；the negative impact on the psychological state of frailty in elderly patients；elderly patients with frailty positively deal with the multidimensional effects of frailty；the unmet needs of elderly patients with frailty. Conclusion Healthcare professionals should pay attention to the multidimensional impact of frailty，focus on the real needs of elderly patients with frailty，explore forms of patient participation in frailty management，and continuously optimize the frailty management program，and improve the accessibility and continuity of healthcare services.

Key words: Aged, Frailty, Experience, Qualitative Research, Meta-Synthesis, Eviderce-based Nursing Care

冯静宜, 张雪芳, 周雪迎, 蔡文静. 老年衰弱患者真实体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(23): 2928-2935.

FENG Jingyi, ZHANG Xuefang, ZHOU Xueying, CAI Wenjing. The real experience of frailty in elderly patients：a qualitative Meta-synthesis[J]. Chinese Journal of Nursing, 2023, 58(23): 2928-2935.

图/表 3

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 Basic features of the included literature（n=14）

表2 纳入文献的方法学质量评价（n=14）

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

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