烧伤患者身体意象体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2024.03.016

摘要/Abstract

摘要：

目的系统评价与整合烧伤患者身体意象心理体验和感受的相关质性研究，为临床制订有针对性的干预措施提供参考依据。方法计算机检索中国知网、万方数据库、维普中文科技期刊数据库、中国生物医学文献服务系统、PubMed、Web of Science、Embase、Medline、Cochrane Library、PsycINFO、Scopus数据库。收集从建库至2022年12月关于烧伤患者身体意象体验的相关质性研究。采用2016版澳大利亚乔安娜布里格斯研究所循证卫生保健中心的质性研究质量评价标准对纳入文献进行质量评价，汇集性整合法整合文献结果。结果共纳入12篇文献，提炼出40个研究结果，最终汇总成4个整合结果：烧伤患者面对身体意象改变的多元创伤感知、烧伤患者面对身体意象改变的积极探索和消极应对、情感信息需求及创伤后成长。结论烧伤患者存在多方面身体意象问题，阻碍患者回归正常生活，医护人员应及时关注患者的身心状态，识别身体意象障碍，协助家庭满足情感需求，帮助患者自我调适，促其良性转归。

关键词: 烧伤, 身体意象, 情感体验, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate and integrate qualitative research related to the psychological experiences and perceptions of body image in burn patients. The goal is to provide a reference basis for developing targeted intervention measures in clinical practice. Methods The databases of CNKI，Wanfang，VIP Chinese Science and Technology Periodical Database，China Biomedical Literature Service System，PubMed，Web of Science，Embase，Medline，Cochrane Library，PsycINFO，and Scopus were applied in our study. Relevant qualitative studies on the body image experience of burn patients from the establishment of the databases until December 2022 were collected. The quality of the included literature was assessed using the 2016 edition of the Joanna Briggs Institute （JBI） Centre for Evidence-based Health Care in Australia，and the results of the literature were integrated using aggregative integration. Results A total of 12 pieces of literature were included，from which 40 research findings were extracted. These findings were ultimately summarized into 4 integrated results：diverse traumatic perceptions of body image changes faced by burn patients，active exploration and negative coping strategies towards body image changes faced by burn patients，emotional information needs and post-traumatic growth. Conclusion Burn patients experience various body image issues that hinder their return to normal life. It is crucial for healthcare professionals to timely attend to the physical and mental well-being of the patients，identify body image disorders，assist families in meeting emotional needs，support patients in self-adjustment，and promote positive outcomes.

Key words: Burns, Body Image, Emotional Experience, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

冯琦凡, 涂发妹, 吴季敏, 刘萍萍, 刘佳晨, 张思易, 张鑫. 烧伤患者身体意象体验质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(3): 362-370.

FENG Qifan, TU Famei, WU Jimin, LIU Pingping, LIU Jiachen, ZHANG Siyi, ZHANG Xin. The experience of body image experience in burn patients：a meta-synthesis of qualitative studies[J]. Chinese Journal of Nursing, 2024, 59(3): 362-370.

图/表 4

表1 PubMed文献检索策略

Table 1 PubMed literature retrieval strategies

图1 文献筛选流程图

Figure 1 Literature screening process

表2 纳入文献的基本特征（n=12）

Table 2 Basic characteristics of the included literature （n=12）

表3 文献的质量评价结果（n=12）

Table 3 Quality evaluation results of literature （n=12）

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