老年慢性病患者移动医疗照护体验的Meta整合

doi:10.3761/j.issn.0254-1769.2022.13.017

摘要/Abstract

摘要：

目的系统评价老年慢性病患者参与移动医疗照护体验的质性研究,为提高和改善老年患者对移动医疗的可及性提供依据。方法计算机检索PubMed、Embase、The Cochrane Library、Web of Science、Scopus、CINAHL、ProQuest、中国知网、万方数据库、维普中文生物医学期刊、中国生物医学文献数据库,检索有关老年慢性病患者对使用移动医疗的态度和体验的质性研究,检索时限从2000年1月—2022年3月。使用乔安娜布里格斯研究所质性研究评估工具评价文献质量。结果共纳入22篇研究,提炼出92个明确的研究结果,将相似的研究结果归纳形成12个新类别,综合成3个整合结果：老年慢性病患者参与移动医疗的良好体验、老年慢性病患者参与移动医疗的不佳体验、老年慢性病患者对移动医疗的偏好和期望。结论老年慢性病患者参与移动医疗的适应体验多样化,需要结合患者情况,从移动医疗设备、医院、社区、家庭和个人多层面完善移动医疗照护服务体系,提升老年慢性病患者使用移动医疗照护服务的可及性和体验。

关键词: 老年人, 慢性病, 移动医疗, 体验, Meta整合, 循证护理学

Abstract:

Objective To systematically review and synthesize the experiences of elderly patients with chronic diseases participating in telemedicine,in order to provide references for improving the accessibility and experience of telemedicine for elderly patients. Methods We searched databases,including PubMed,Embase,Cochrane Library,Web of Science,Scopus,CINIHL,ProQuest,CNKI,WanFang data VIP and SinoMed,for the qualitative research on the attitude and experience of elderly patients with chronic diseases in using telemedicine. The retrieval time limit is from January 2000 to March 2022. We use the standardized qualitative research evaluation tool developed by the Joanna Briggs Institute to evaluate the quality of the literature. Results A total of 22 studies were included. 92 research results were summarized into 12 categories and 3 synthesized findings according to their similarities. The 3 findings are the good experience,poor experience,and the preference and expectation of telemedicine treatment in elderly patients with chronic diseases. Conclusion The adaptive experience of elderly patients with chronic diseases participating in telemedicine treatment is diversified. It is necessary to improve the telemedicine care service system from the perspectives of telemedicine devices,hospitals,communities,families and individuals,and improve the accessibility and experience of elderly patients with chronic diseases using telemedicine care services.

Key words: Aged, Chronic Disease, Telemedicine, Experience, Meta-Synthesis, Evidence-based Nursing

熊佳铭, 余红雨, 苏瑾, 赵倬睿, 杨巧红. 老年慢性病患者移动医疗照护体验的Meta整合[J]. 中华护理杂志, 2022, 57(13): 1641-1648.

XIONG Jiaming, YU Hongyu, SU Jin, ZHAO Zhuorui, YANG Qiaohong. Meta-synthesis of qualitative research on the experience of elderly patients with chronic disease participating in telemedicine[J]. Chinese Journal of Nursing, 2022, 57(13): 1641-1648.

图/表 3

图1 文献检索及筛选流程

Figure 1 Literature retrieval and screening process

表1 纳入文献的基本特征（n=22）

Table 1 The basic characteristics of the included literature（n=22）

表2 纳入文献的方法学质量评价结果（n=22）

Table 2 Methodological quality evaluation of included literature（n=22）

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