Abstract:

Objective The aim of this study was to perform a meta-synthesis of findings of myocardial infarction（MI）patients’ experiences of recovery after returning to society. Methods We searched databases including the Cochrane Library,Joanna Briggs Institute Library,PubMed,Embase,Web of Science,PsycINFO,CINAHL,CBM,WanFang,CNKI and VIP. All of the qualitative research on the real experience of MI patients returning to society after being discharged from the hospital were collected. The search time limit is from the establishment of the databases to November 2021. The JBI critical appraisal tool for qualitative research in Australia was used to evaluate the quality of the included studies,and the results were summarized and integrated by integrating methods. Results A total of 13 original studies were included. 47 findings were collected,and then the similar results were grouped into 11 new categories,and finally these categories were integrated into 3 synthesis results. Integration result 1：living with psychological loads,and the patients were facing physical and mental challenges. Integration result 2：reflecting on the value of life and strive to change one selves. Integration result 3：recognition of the world,and desire for outside help. Conclusion Although MI patients have been treated to save lives,they are still living under different degrees of pressure after discharging from the hospital. The future life is full of uncertainty,and each person’s coping ability is different. Health care workers and members of the public society need to pay more attention to their feelings and needs after returning to society,and to provide necessary health care knowledge and living skills to help them learn to coexist with the disease and better adapt to social lives.

Key words: Myocardial Infarction, Return to Society, Real Experience, Qualitative Research, Meta Integration, Evidence-Based Nursing

摘要：

目的 系统评价心肌梗死患者出院后重返社会的真实体验。方法 计算机检索Cochrane Library、澳大利亚乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）循证卫生保健中心图书馆、PubMed、Embase、Web of Science、PsycINFO、CINAHL、中国生物医学数据库、万方数据库、中国知网和维普数据库,检索关于心肌梗死患者出院后重返社会真实体验的质性研究,检索时限均为从建库至2021年11月。采用澳大利亚JBI循证卫生保健中心2016版质性研究质量评价标准进行文献质量评价,采用汇集性整合方法对结果进行归纳和整合。结果 共纳入13项原始研究,提炼47个研究结果,将相似结果归纳组合,形成11个新的类别,并综合成3个整合结果。整合结果1：存在心理负荷,身心面临挑战。整合结果2：反思自我价值,努力有效应对。整合结果3：重新认知世界,渴求外界帮助。结论 心肌梗死患者出院后其内心仍存在不同程度的压力,对未来的生活充满了不确定感;每个人的应对能力不同。医护人员需关注心肌梗死患者在回归社会后的感受和需求,给予必要的保健知识和技能指导,帮助其学会与疾病共存,以积极的态度适应社会生活。

关键词: 心肌梗死, 重返社会, 真实体验, 质性研究, Meta整合, 循证护理学