维持性血液透析患者运动体验质性研究的Meta整合

doi:10.3761/j.issn.0254-1769.2024.14.016

摘要/Abstract

摘要：

目的系统评价与分析维持性血液透析患者运动体验的质性研究，旨在为实施维持性血液透析患者的运动干预提供依据。方法系统检索PubMed、Embase、Web of Science、Cochrane Library、PsycINFO、CINAHL、中国生物医学文献数据库、中国知网、万方数据库和维普数据库中关于维持性血液透析患者运动体验有关的质性研究，检索时限为建库至2022年9月30日，采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的质量评价工具对文献方法学进行质量评价，运用汇集性整合方法对纳入的文献进行整合与分析。结果共纳入14篇文献，提炼出47个研究结果，再进一步归纳组合为12个类别，形成4个整合结果：感知透析中运动的积极影响和潜在风险；透析中运动的障碍和促进因素；对透析中运动的需求；透析间期运动的体验。结论运动方案的设计需要充分考虑维持性血液透析患者的体验和需求，以保障患者运动的依从性和方案的持续性。

关键词: 血液透析, 运动, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate and analyze the qualitative research on the experience of maintenance hemodialysis patients，so as to provide references for the implementation of exercise interventions in maintenance hemodialysis patients. Methods We searched databases including PubMed，Embase，Web of Science，Cochrane Library，PsycINFO，CINAHL，CBM，CNKI，WanFang Database and VIP from inception to September 30，2022，to collect qualitative studies about exercise experience of maintenance hemodialysis patients. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. The results were integrated by integrating methods. Results A total of 14 studies were included. 47 completed findings were grouped according to their similarities to form 12 categories. These categories resulted in 4 synthesized findings. Integration results 1：recognizing the positive effects and potential risks of intradialytic exercise. Integration results 2：barriers and facilitators of intradialytic exercise. Integration results 3：needs of intradialytic exercise.Integration results 4：exercise experience on non-dialysis day. Conclusion The experience and needs of maintenance hemodialysis patients should be considered to ensure patient compliance and continuity when exercise programs were designed.

Key words: Hemodialysis, Exercise, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

于新涛, 常燕, 倪停停, 于传山, 梁爽, 徐骏, 户德清, 吉小静. 维持性血液透析患者运动体验质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(14): 1769-1776.

YU Xintao, CHANG Yan, NI Tingting, YU Chuanshan, LIANG Shuang, XU Jun, HU Deqing, JI Xiaojing. Exercise experience of maintenance hemodialysis patients： a meta-synthesis of qualitative research[J]. Chinese Journal of Nursing, 2024, 59(14): 1769-1776.

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=14）

Table 1 The basic characteristics of the included literature（n=14）

表2 纳入文献的方法学质量评价（n=14）

Table 2 Methodological quality evaluation of included literature（n=14）

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