康复期脑卒中失语症患者疾病体验及需求的Meta整合

doi:10.3761/j.issn.0254-1769.2024.07.016

摘要/Abstract

摘要：

目的系统评价和整合康复期脑卒中失语症患者疾病体验及需求的质性研究，为制订以脑卒中失语症患者需求为导向的康复护理策略提供参考。方法计算机检索PubMed、Web of Science、Embase、Cochrane Library、CINAHL、中国知网、万方数据库、维普中文科技期刊数据库中关于康复期脑卒中失语症患者疾病体验及需求的质性研究，检索时限为建库至2023年5月。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质性研究质量评价标准评价文献质量，用汇集性整合法进行结果整合。结果共纳入18篇文献，提炼出1个理论模型和70个主题，归纳形成7个类别，合并为3个整合结果：脑卒中失语症是创伤性生活事件；脑卒中失语症患者积极重建生活；康复过程中脑卒中失语症患者的需求。结论康复期脑卒中失语症患者面临生活困境，医护人员应助力患者社会融合，提高患者自我管理水平，满足患者多维度、多样化的康复需求，构建以脑卒中失语症患者需求为导向的个体化康复管理方案。

关键词: 脑卒中, 失语症, 体验, 需求, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate and integrate qualitative studies on the disease experience and demands of stroke aphasic patients during rehabilitation，and to provide references for the development of a rehabilitation care strategy oriented to the needs of poststroke aphasia patients. Methods Computer search of PubMed，Web of Science，Embase，Cochrane Library，CINAHL，China Knowledge Network，Wanfang database，and VIP Chinese biomedical journals was conducted for qualitative research on the illness experience and demands of poststroke aphasia patients during rehabilitation from the time of database construction to May 2023. The literature was evaluated using the Australian JBI Quality Evaluation Criteria for Qualitative Research in Evidence-based Health Care Centers （2016），and the results were consolidated using an aggregative integration approach. Results A total of 18 studies were included，and a total of 1 theoretical model and 70 themes were extracted and grouped to form 7 categories，which were combined into 3 integrated outcomes：poststroke aphasia is a traumatic life event；poststroke aphasia patients actively rebuild their lives；the demands of poststroke aphasia patients during rehabilitation. Conclusion Poststroke aphasia patients during rehabilitation face difficulties in life；medical professionals should stimulate patients’ positive feelings，strive to promote patients’ social integration and self-management，meet patients’ multidimensional and diverse rehabilitation demands，and ultimately construct personalized rehabilitation management programs oriented to patients’ demands with poststroke aphasia.

Key words: Stroke, Aphasia, Experience, Demand, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

王欢, 李圣娟, 李晨, 何园园, 谢玉瑶, 郑冬香. 康复期脑卒中失语症患者疾病体验及需求的Meta整合[J]. 中华护理杂志, 2024, 59(7): 873-881.

WANG Huan, LI Shengjuan, LI Chen, HE Yuanyuan, XIE Yuyao, ZHENG Dongxiang. The illness experience and demands of patients with poststroke aphasia during rehabilitation：a qualitative meta-synthesis[J]. Chinese Journal of Nursing, 2024, 59(7): 873-881.

图/表 3

图1 文献筛选流程及结果

Figure 1 Literature screening process

表1 纳入文献的基本特征（n=18）

Table 1 Basic characteristics of included studies（n=18）

表2 纳入文献的质量评价结果（n=19）

Table 2 The quality evaluation results of the included literature（n=19）

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