Abstract:

Objective To systematically review the real life experiences of nontraumatic lower extremity amputa-tions（NLEA） patients. Methods We searched databases，including PubMed，the Cochrane Library，Embase，Web of Science，CINAHL，PsycINFO，CNKI，Wan Fang data，VIP，and CBM from inception to August 2022 to collect qualitative studies on the real life experience of NLEA patients. The quality of included research was evaluated by the JBI Critical Appraisal Tool for qualitative studies from Australia. The results were summarized and integrated by the pooled integration methods. Results A total of 11 studies were included. 43 complete findings were grouped according to their similarities to form 3 integrated categories. The integration results were finally obtained. Integration results 1：facing multiple pressures and challenges，breaking the normalcy of life；integration results 2：there are multiple unmet needs；integration results 3：adopting different strategies to deal with amputation. Conclusion Nurses should pay attention to and understand the patient’s positive psychological state，and cooperate with available support to reduce the unmet needs of patients. It will be easier to reduce the transitional stress of the family，to help patients return to society better and improve their quality of life.

Key words: Amputees, Real Experience, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

摘要：

目的 系统评价非创伤性下肢截肢患者生活的真实体验和感受。方法 计算机检索PubMed、Cochrane Library、Embase、Web of Science、CINAHL、PsycINFO、中国知网、万方数据库、维普数据库、中国生物医学文献数据库关于非创伤性下肢截肢患者生活体验的质性研究，检索时限为建库至2022年8月。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11项研究，提炼出43个结果，综合为3个整合结果。整合结果1：面临多重压力与挑战，打破生活常态。整合结果2：存在多维度未满足需求。整合结果3：采取不同的策略应对截肢事件。结论 护理人员应识别和关注患者的负性心理，联合患者可获得的支持，减少患者未满足的需求，减轻向家庭过渡的压力，以促进患者重新融入并恢复正常社会生活。

关键词: 截肢者, 生活体验, 质性研究, Meta整合, 循证护理学