肠造口患者居家护理需求质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2023.03.014

摘要/Abstract

摘要：

目的整合肠造口患者居家护理需求的质性研究，为探索以肠造口患者需求为导向的健康管理方案并制订干预策略提供参考。方法计算机检索PubMed、Embase、Web of Science、Cochrane Library、EBSCO、CINAHL、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于肠造口患者居家护理需求的质性研究，检索时限为建库至2022年3月。使用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）评价文献质量，采用Meta整合方法对结果进行整合。结果共纳入18篇文献，提炼出67个研究结果，归纳出11个类别，最终综合为4个整合结果：打破日常生活状态，渴望获得健康生活指导；遭受多种心理应激，伴随身心健康受损，情感、社会支持需求强烈；面临造口自我管理困境，亟需通过多种便捷渠道获得信息及专业支持；自我调适角色改变，生活重塑。结论肠造口患者居家护理需求形式多样，医护人员应重视肠造口患者的身心健康，预测患者居家过程中遇到的挑战与障碍，不断寻求最佳解决方案，为其提供情感、社会等多方面支持，以提升患者的自我管理能力，改善其生活质量。

关键词: 肠造口, 居家, 需求, 循证护理学, 质性研究, Meta整合

Abstract:

Objective To integrate the qualitative research on the home care needs of enterostomy patients，so as to provide references for formulating the demand-oriented health management plan and intervention strategies of enterostomy patients. Methods The computer was employed to search PubMed，Embase，Web of Science，Cochrane Library，EBSCO，CINAHL，CNKI，Wanfang database，VIP database and China biomedical literature database for the qualitative research on the home care needs of enterostomy patients. The retrieval time limit is from the establishment of the databases to March 2022. The “quality evaluation standard for qualitative research of evidence-based health care center of Joanna Briggs Institute in Australia（2016）” was used to evaluate the literature quality，and the Meta integration method was used to integrate the results. Results A total of 18 studies were included；66 research results were extracted；11 new categories were summarized；4 results were finally integrated，including breaking the state of daily life and longing for healthy life guidance；suffering from a variety of psychological stress，accompanied by physical and mental health damage，strong emotional and social support needs；facing the dilemma of stoma self-management，and it is urgent to obtain information and professional support through a variety of convenient channels；self adjustment，role change and life remodeling. Conclusion There are various forms of home care needs for stoma patients. Medical staff should pay attention to the physical and mental health of stoma patients，explore the challenges and obstacles encountered in the process of home care，constantly seek the best solutions，and provide emotional，social and other support for them，so as to promote the patients’ self-management ability and ultimately improve the overall quality of life.

Key words: Enterostomy, Home, Demand, Evidence-based Nursing, Qualitative Research, Meta Integration

胡娇娇, 王建宁, 詹梦梅, 黄秋霞, 龚翠颖, 梁慧. 肠造口患者居家护理需求质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(3): 357-365.

HU Jiaojiao, WANG Jianning, ZHAN Mengmei, HUANG Qiuxia, GONG Cuiying, LIANG Hui. Meta integration of qualitative research on home care needs of patients with enterostomy[J]. Chinese Journal of Nursing, 2023, 58(3): 357-365.

图/表 3

图1 文献筛选流程

Figure 1 Literature retrieval and screening process

表1 纳入文献的基本特征（n=18）

Table 1 The basic characteristics of the included literature（n=18）

表2 纳入文献的方法学质量评价（n=18）

Table 2 Methodological quality evaluation of the included literature（n=18）

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