Abstract:

Objective To systematically evaluate the caring experience of family caregivers of aged patients with multi-morbidity, and to provide a reference for developing individualized support strategies for family caregivers of multi-morbidity patients. Methods Qualitative studies on the caring experience of family caregivers were searched in electronic databases, including Web of Science, PubMed, Embase, the Cochrane Library, CINAHL, CNKI, WanFang, VIP database, and CBM Database. The retrieval time was from the establishment of the databases to August 2022. 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 10 studies were included, and 54 clear research results were extracted. The similar research results were summarized into 11 new categories, and 3 integrated results were synthesized. The caring experience has multiple effects on the caregiver’s mind, body and life；caregivers face multiple challenges；caregivers respond positively to maintain a normal life. Conclusion Medical staff should attach importance to the caring experience of family caregivers of elderly patients with multi-morbidity, promote and construct a caregiver support security system, develop personalized support strategies, meet the needs of caregivers, and improve their quality of care and quality of life.

Key words: Multi-Morbidity, Aged, Family Caregivers, Experience, Meta-Synthesis, Nursing Care

摘要：

目的 系统评价慢性病共病老年患者家庭照顾者的照顾体验，为制订慢性病共病患者家庭照顾者的个性化支持策略提供参考。 方法 计算机检索Web of Science、PubMed、Embase、Cochrane Library、CINAHL、中国知网、万方数据库、中国生物医学文献数据库、维普期刊全文数据库，检索年限为建库至2022年8月，筛选慢性病共病老年患者家庭照顾者照顾体验相关的质性研究。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对纳入文献进行方法学的质量评价，运用汇集性整合方法整合结果。 结果 共纳入10篇文献，提炼出54个研究结果，整合成11个新的类别，综合为3个整合结果：照顾经历给照顾者的身心和生活带来多重影响；照顾者面临多种挑战；照顾者积极应对以维持正常生活。 结论 医护人员应重视慢性病共病老年患者家庭照顾者的照顾体验，构建与完善照顾者支持保障体系，制订个性化支持策略，满足照顾者需求，提高其照顾质量及生活质量。

关键词: 慢性病共病, 老年人, 家庭照顾者, 体验, Meta整合, 护理