心脏康复患者运动恐惧体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2024.04.014

摘要/Abstract

摘要：

目的系统分析与评价心脏康复患者运动恐惧的心理体验。方法检索PubMed、Web of Science、Ovid电子期刊全文数据库、Embase、CINAHL、PsycINFO、Cochrane Library、中国知网、中国生物医学文献数据库、万方数据库、维普数据库及美国心脏协会、欧洲心脏病学会、美国心肺康复协会等网站关于心脏康复患者运动恐惧体验的质性研究，检索时限为建库至2023年6月。根据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（2016版）评价文献质量，采用汇集性整合法进行Meta整合。结果共纳入14篇文献，提取45个明确的研究结果，将相似结果归纳成10个类别，3个整合结果：运动恐惧受多重因素影响；运动恐惧影响患者生活体验；降低运动恐惧的策略。结论护理人员应重视心脏康复患者运动恐惧心理，采取相应干预措施，协助患者克服运动恐惧的心理障碍，完善个性化运动方案，提高身体活动水平。

关键词: 心脏康复, 运动恐惧, 心理体验, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically review and synthesize the psychological experience of kinesiophobia in patients with cardiac rehabilitation. Methods PubMed，Web of science，Journals@Ovid，Embase，CINAHL，PsycINFO，Cochrane Library，CNKI，SinoMed，WanFang Database，Vip Database，American Heart Association，European Society of Cardiology and American Association of Cardiovascular and Pulmonary Rehabilitation were searched to collect qualitative research on the psychological experience of cardiac rehabilitation patients with kinesiophobia. The retrieval time was from the establishment of the databases to Jun 2023. The literature was evaluated using the Australian JBI Quality Evaluation Criteria for Qualitative Research in Evidence-based Health Care Centres（2016），and the results were consolidated using an aggregative integration approach. Results A total of 45 results were extracted from 14 studies. Similar results were summarized into 10 groups，and 3 integrated results were synthesized as followed. Kinesiophobia was influenced by many factors；kinesiophobia affects the life experience of patients；strategies to reduce the level of kinesiophobia. Conclusion Nurses should pay more attention to psychological experience of kinesiophobia，and take the corresponding intervention measures to help patients overcome the psychological barriers of kinesiophobia，perfect personalized exercise programs，and improve the level of physical activity.

Key words: Cardiac Rehabilitation, Kinesiophobia, Psychological Experience, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

刘建萍, 郭卫婷, 高伟, 王文君, 盛源, 范春梅, 鲁琦, 刘德山. 心脏康复患者运动恐惧体验质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(4): 474-481.

LIU Jianping, GUO Weiting, GAO Wei, WANG Wenjun, SHENG Yuan, FAN Chunmei, LU Qi, LIU Deshan. Meta-synthesis of qualitative research on the experience of kinesiophobia in patients with cardiac rehabilitation[J]. Chinese Journal of Nursing, 2024, 59(4): 474-481.

图/表 4

图1 PubMed检索策略

Figure 1 PubMed search strategies

图2 文献筛选流程图

Figure 2 Literature retrieval and screening process

表1 纳入文献的基本特征（n=14）

Table 1 Basic characteristics of included studies（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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