Rehabilitation experience and nursing demands of elderly patients with hip fracture：a meta-synthesis of qualitative research

doi:10.3761/j.issn.0254-1769.2022.19.016

Abstract

Abstract:

Objective To systematically evaluate the qualitative research on the experience and feeling of elderly patients with hip fracture during rehabilitation. Methods We searched databases including the Cochrane Library,PubMed,Embase,CBM,CNKI,Wanfang,VIP. The literature of qualitative research on the experience and needs of rehabilitation for elderly patients with hip fracture from the establishment of the database to December 2021 was retrieved. The literature was evaluated using the Australian JBI Quality Evaluation Criteria for Qualitative Research in Evidence-based Health Care Centres（2016）,and the results were consolidated using an aggregative integration approach. Results A total of 29 studies were included;3 theoretical models and 93 clear research topics were extracted,and 12 new categories were formed after induction and integration,which were finally merged into 4 integrated results. Integration results 1：Limitations of trauma on physical status of elderly patients with hip fracture. Integration results 2：The effect of trauma on the psychological state of elderly patients with hip fracture. Integration results 3：The elderly patients with hip fracture showed different attitudes and coping styles during rehabilitation. Integrated results 4：The needs of elderly patients with hip fracture during rehabilitation. Conclusion The elderly patients with hip fracture have dual physical and mental limitations after surgery,and will experience a long and struggling process. Medical staff should pay attention to patients diversified and multi-dimensional rehabilitation needs and formulate individualized rehabilitation strategies based on patients’ needs.

Key words: Aged, Hip Fracture, Rehabilitation, Experience and Demand, Qualitative Research, Meta Inte-gration, Evidence-based Nursing

摘要：

目的系统评价有关老年髋部骨折患者康复期体验与需求的质性研究,为制订符合国内老年髋部骨折患者需求的康复期护理策略提供参考。方法计算机检索Cochrane Library、PubMed、Embase、中国知网、万方数据库等,收集建库至2021年12月关于老年髋部骨折患者康复期体验与需求的质性研究。采用2016版澳大利亚乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）循证卫生保健中心质性研究质量评价标准评价文献质量,利用汇集性整合法进行结果整合。结果共纳入29项研究,提炼出3个理论模型和93个主题,归纳形成12个类别,合并为4个整合结果：创伤对老年髋部骨折患者身体状态的限制;创伤对老年髋部骨折患者心理状态的影响;康复过程中老年髋部骨折患者表现出不同的态度及应对方式;康复过程中老年髋部骨折患者的需求。结论老年髋部骨折患者处于身心双重限制的困境,医护人员应关注多样化、多维度的患者康复需求,制订以患者需求为导向的个性化康复策略。

关键词: 老年人, 髋骨折, 康复, 体验与需求, 质性研究, Meta整合, 循证护理学

PENG Tao, HE Kaiqi, LEI Yipeng, LI Bingkun, YAO Shuang, HE Yongqin, ZHANG Yumei. Rehabilitation experience and nursing demands of elderly patients with hip fracture：a meta-synthesis of qualitative research[J]. Chinese Journal of Nursing, 2022, 57(19): 2406-2413.

彭涛, 贺开麒, 雷一鹏, 李炳昆, 姚爽, 何永琴, 张玉梅. 老年髋部骨折患者康复期体验与需求的Meta整合[J]. 中华护理杂志, 2022, 57(19): 2406-2413.

Figures/Tables 3

References 41

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