Abstract:

Objective To systematically evaluate and integrate the life experience of patients with left ventricular assist device（LVAD） implantation，so as to provide a reference for helping these patients adapt to life coexisting with LVAD and establishing a support system. Methods Web of Science，PubMed，Embase，Cochrane Library，CINAHL，CNKI，Wanfang data，VIP，CBM were searched for qualitative research on life experience of patients with LVAD implantation. The search time was from January 2008 to July 2022. The literature quality evaluation was carried out by the quality evaluation standard of qualitative research of Joanna Briggs Institute，Australia（2016 edition），and the research results were summarized and integrated by the convergent integration method. Results A total of 15 English studies were included；69 themes were extracted；14 categories were summarized and 4 synthesis results were obtained，namely the health benefits，difficulties and challenges，self-adjustment，and the importance of external support after LVAD implantation to promote recovery and adaptation. Conclusion Patients with LVAD have obvious health benefits，but also face a series of complications and life，psychological and social burdens. In the future，a multi-dimensional support system should be established from medical treatment，family and society to help such patients self-adjust and return to society as soon as possible.

Key words: Left Ventricular Assist Device, Life Experience, Qualitative Meta-Synthesis, Evidence-Based Nursing

摘要：

目的 系统评价与整合左心室辅助装置（left ventricular assist device，LVAD）植入患者的生活体验，为更好地帮助该类人群适应与LVAD共存的生活、建立支持体系提供参考。方法 检索Web of Science、PubMed、Embase、Cochrane Library、CINAHL及中国知网、万方数据知识服务平台、维普数据库、中国生物医学文献服务系统中有关LVAD植入患者生活体验的质性研究。检索时间为2008年1月—2022年7月。采用澳大利亚乔安娜布里格斯研究所质性研究质量评价标准评价文献质量，采用Meta整合方法对结果进行整合。 结果 共纳入15篇英文文献。提取69个主题，归纳为LVAD植入后的健康获益、面临的困境与挑战、自我调适及外部支持对促进恢复与适应至关重要4个整合结果，以及14个类别。 结论 患者植入LVAD后健康获益明显，但也面临一系列并发症及生活、心理、社会负担。未来应从医疗、家庭、社会等层面建立多维度支持体系，帮助该类患者进行自我调适，协助其尽早重返社会。

关键词: 左心室辅助装置, 生活体验, 质性Meta整合, 循证护理学