肺移植受者心理体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2022.06.005

摘要/Abstract

摘要：

目的系统评价肺移植受者的心理体验,全面了解其需求,探讨其所面临的问题及主要原因,以期为肺移植受者制订针对性的干预策略提供理论依据。方法计算机检索Cochrane Library、PubMed、Embase、Web of Science、Medline、PsycINFO、ProQuest、Scopus、中国知网、万方数据库、维普科技期刊数据库和中国生物医学文献数据库中关于肺移植受者心理体验及需求的质性研究,检索时限为建库至2021年1月。结果共纳入12篇文献,提炼出69个研究结果,将相似结果组合形成10个新类别,整合出4个整合结果,包括肺移植的决策经历、肺移植后的喜悦与感恩、肺移植带来的困扰和肺移植后的调适。结论肺移植决策过程中,医护人员应为肺移植受者及其家属提供全面的肺移植术后相关信息,以帮助其综合考虑后做出审慎的选择;同时建议肺移植术后应建立严格的随访管理制度。

关键词: 肺移植, 心理体验, Meta整合, 质性研究, 护理

Abstract:

Objective To systematically summarize the psychological experience of lung transplantation recipients to comprehensively understand their needs and to provide better evidence for clinical treatment.Methods We searched databases including Cochrane Library,PubMed,Embase,Web of Science,Medline,PsycINFO,ProQuest,Scopus,CNKI,Wanfang Database,VIP and CBM from the start to January 2021,to collect the literature on qualitative studies of the psychological experience and needs of lung transplant recipients.Results A total of 12 studies were included,and 69 findings were extracted. Similar results were combined into 10 new categories,and then 4 integrated results were integrated,including the decision-making experience of lung transplantation,the joy and gratitude after lung transplantation,the distress caused by lung transplantation,and the adjustment after lung transplantation.Conclusion In the decision-making process of lung transplantation,medical personnel should provide lung transplant recipients and their families with comprehensive postoperative information to help them make a prudent choice after comprehensive consideration. Meanwhile,it is suggested that a follow-up management system should be established after lung transplantation.

Key words: Lung Transplantation, Psychological Experience, Meta-Synthesis, Qualitative Study, Nursing Care

孙燕燕, 吴婷, 柯宇静, 施丽丽. 肺移植受者心理体验质性研究的Meta整合[J]. 中华护理杂志, 2022, 57(6): 673-679.

SUN Yanyan, WU Ting, KE Yujing, SHI Lili. Psychological experience of lung transplant recipients：a qualitative meta-synthesis[J]. Chinese Journal of Nursing, 2022, 57(6): 673-679.

图/表 2

参考文献 25

[1]	Chambers DC, Zuckermann A, Cherikh WS, et al. The International Thoracic Organ Transplant Registry of the international society for heart and lung transplantation:37th adult lung transplantation report-2020;focus on deceased donor characteristics[J]. J Heart Lung Transplant, 2020, 39(10):1016-1027. DOI URL
[2]	Skogeland U, de Monestrol I, Godskesen TE. Experiences of individuals awaiting lung transplantation[J]. Respir Care, 2018, 63(12):1535-1540. DOI PMID
[3]	Meyer KC, Raghu G, Verleden GM, et al. An international ISHLT/ATS/ERS clinical practice guideline:diagnosis and management of bronchiolitis obliterans syndrome[J]. Eur Respir J, 2014, 44(6):1479-1503. DOI URL
[4]	Ågren S, Sjöberg T, Ekmehag B, et al. Psychosocial aspects before and up to 2 years after heart or lung transplantation:experience of patients and their next of kin[J]. Clin Transplant, 2017, 31(3):e12905. DOI URL
[5]	Afshar K. Future direction of immunosuppression in lung transplantation[J]. Curr Opin Organ Transplant, 2014, 19(6):583-590. DOI URL
[6]	The Joanna Briggs Institute. Criticl appraisal checklist for qualitative research[EB/OL]. (2020-03-05)[2021-02-15]. http://joannabriggs.org/research/critical-appraisa-l-tools.html.
[7]	Seiler A, Klaghofer R, Drabe N, et al. Patients’ early post-operative experiences with lung transplantation:a longitudinal qualitative study[J]. Patient, 2016, 9(6):547-557. DOI URL
[8]	Singer JP, Chen J, Katz PP, et al. Defining novel health-related quality of life domains in lung transplantation:a qualitative analysis[J]. Qual Life Res, 2015, 24(6):1521-1533. DOI URL
[9]	Ramos KJ, Hobler MR, Engelberg RA, et al. Addressing lung transplant with adults with cystic fibrosis:a qualitative analysis of patients’ perspectives and experiences[J]. J Cyst Fibros, 2019, 18(3):416-419. DOI URL
[10]	Moloney S, Cicutto L, Hutcheon M, et al. Deciding about lung transplantation:informational needs of patients and support persons[J]. Prog Transplant, 2007, 17(3):183-192. PMID
[11]	Fuller LM, Button B, Tarrant B, et al. Patients’ expectations and experiences of rehabilitation following lung transplantation[J]. Clin Transplant, 2014, 28(2):252-258. DOI PMID
[12]	Graarup J, Mogensen EL, Missel M, et al. Life after a lung transplant:a balance of joy and challenges[J]. J Clin Nurs, 2017, 26(21/22):3543-3552. DOI URL
[13]	Goetzmann L, Seiler A, Benden C, et al. Transplantation experience as a predictor for quality of life during the first 6 months after lung transplantation[J]. Clin Transplant, 2018, 32(10):e13393. DOI URL
[14]	Lundmark M, Lennerling A, Forsberg A. Developing a grounded theory on adaptation after lung transplantation from intermediate-term patient experiences[J]. Prog Transplant, 2019, 29(2):135-143. DOI PMID
[15]	Lundmark M, Erlandsson LK, Lennerling A, et al. Health transition after lung transplantation:a grounded theory study[J]. J Clin Nurs, 2016, 25(15/16):2285-2294. DOI URL
[16]	Lundmark M, Lennerling A, Almgren M, et al. Recovery after lung transplantation from a patient perspective-proposing a new framework[J]. J Adv Nurs, 2016, 72(12):3113-3124. DOI PMID
[17]	Thomsen D, Jensen BØ. Patients’ experiences of everyday life after lung transplantation[J]. J Clin Nurs, 2009, 18(24):3472-3479. DOI PMID
[18]	Brügger A, Aubert JD, Piot-Ziegler C. Emotions while a waiting lung transplantation:a comprehensive qualitative analysis[J]. Health Psychol Open, 2014, 1(1):378-380.
[19]	Rossano JW, Dipchand AI, Edwards LB, et al. The registry of the international society for heart and lung transplantation:nineteenth pediatric heart transplantation report-2016;focus theme:primary diagnostic indications for transplant[J]. J Heart Lung Transplant, 2016, 35(10):1185-1195. DOI URL
[20]	吕秀霞, 陈瑞云, 魏立, 等. 肺移植患者肺康复的研究进展[J]. 中华护理杂志, 2019, 54(5):765-770.
	Lü XX, Chen RY, Wei L, et al. Research progress on pulmonary rehabilitation in patients undergoing lung transplantation[J]. Chin J Nurs, 2019, 54(5):765-770.
[21]	宫玉翠, 陈洁雅, 李平东, 等. 慢性呼吸疾病肺康复护理专家共识[J]. 中华护理杂志, 2020, 55(5):709-710.
	Gong YC, Chen JY, Li PD, et al. Expert consensus on pulmonary rehabilitation nursing of chronic respiratory diseases[J]. Chin J Nurs, 2020, 55(5):709-710.
[22]	Rosenberger EM, DeVito Dabbs AJ, DiMartini AF, et al. Long-term follow-up of a randomized controlled trial evaluating a mobile health intervention for self-management in lung transplant recipients[J]. Am J Transplant, 2017, 17(5):1286-1293. DOI PMID
[23]	Lundmark M, Lennerling A, Almgren M, et al. Recovery,symptoms,and well-being one to five years after lung transplantation-a multi-centre study[J]. Scand J Caring Sci, 2019, 33(1):176-184. DOI PMID
[24]	Rebafka A, Bennett C, Jones J, et al. Lung transplant recipients’ experiences of and attitudes towards self-management:a qualitative systematic review protocol[J]. JBI Database System Rev Implement Rep, 2018, 16(4):831-837. DOI PMID
[25]	卫栋, 范立, 班乐. 中国肺移植术后并发症诊疗和随访技术规范(2019版)[J]. 中华移植杂志(电子版), 2019, 13(2):99-108.
	Wei D, Fan L, Ban L. Technical specification for diagnosis and treatment of complications and postoperative follow-up after lung transplantation in China(2019 edition)[J]. Chin J Transplant Electron Ed, 2019, 13(2):99-108.