Abstract:

Objective To systematically review and synthesize qualitative studies on the care needs of lung transplant recipients at home and to provide evidence-based guidance for the development of educational programs and the implementation of continuous care. Methods We searched databases including PubMed,Embase,Web of Science,Cochrane Library,CINAHL,ProQuest,CNKI,Wanfang Data,VIP and CBM from inception to August 2020,to collect qualitative studies exploring the care needs of lung transplant recipients at home. The Joanna Briggs Institute Critical Appraisal Tool for qualitative studies in Australia（2016 edition） was used to evaluate the quality of included studies. The results were synthesized by integrating methods. Results A total of 11 studies were included,with 60 complete research findings grouped into 11 categories by their similarities. 4 integrated findings were synthesized,namely informational needs,physiological needs,psychological and spiritual needs,and societal needs. Conclusion The care needs of lung transplant recipients at home were diverse and special. Transplantation teams should pay more attention to the care needs of this population,and provide education,monitoring,pulmonary rehabilitation,and social support for discharged recipients,in order to improve the self-management ability and their quality of life.

Key words: Lung Transplant, Recipient, Need, Home, Evidence-Based Nursing, Qualitative Research, Meta-Synthesis

摘要：

目的 系统评价和整合肺移植受者居家护理需求的质性研究,为制订以肺移植受者需求为导向的健康教育并开展延续性护理服务提供依据。 方法 检索PubMed、Embase、Web of Science、Cochrane Library、CINAHL、ProQuest、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肺移植受者居家护理需求的质性研究,检索时限为建库至2020年8月。使用“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（2016）”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11篇研究,提炼出60个研究结果,归纳出11个新类别,最终综合为信息需求、生理需求、心理精神需求和社会需求4个整合结果。 结论 肺移植受者居家护理需求具有多样化、特殊性的特点。移植团队应高度重视肺移植受者的居家护理需求,根据需求情况为其提供居家教育、监测、肺康复指导和社会支持,进而提高肺移植受者的自我管理能力和生活质量。

关键词: 肺移植, 受者, 需求, 居家, 循证护理学, 质性研究, Meta整合