关键词: 精神分裂症, 疾病体验, 质性研究, 系统评价, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate the disease experience of patients with schizophrenia in rehabilitation period,and to provide the evidence for strengthening standardized management in rehabilitation period and improving the rehabilitation effect and mental health level of this population. Methods A computer search was conducted on PubMed,Web of Science,Cochrane Library,CINAHL,Embase,PsyINFO,CNKI,Wanfang Database,VIP Science and Technology Journal Database and China Biomedical Literature Database for qualitative research on mental experience,real experience and feelings of schizophrenia patients in convalescence. The search time was from the establishment to February 2022. The literature quality evaluation was carried out by the quality evaluation standard of qualitative research of Joanna Briggs Institute（JBI）,Australia（2016 edition）,and the research results were summarized and integrated by the convergent integration method. Results Totally 13 articles were included;86 topics were extracted;10 categories were summarized. 4 integrated results were formed as following. Schizophrenia is a complex mystery,which is often accompanied by many negative disease experiences;social isolation and alienation from the outside world;the attempt to rebuild the life;rehabilitation support needs to be completed together. Conclusion Medical staff should pay attention to the emotional experience of patients,fully explore the positive feelings,meet the reasonable needs of patients,and give patients systematic rehabilitation support. The public should reduce the stigma of patients and create a good social environment.

Key words: Schizophrenia, Disease Experience, Qualitative Research, Systematic Evaluation, Meta-Synthesis, Evidence-Based Nursing