Abstract:

Objective To analyze and evaluate the experience of patients with chronic heart failure（CHF）. Methods We searched databases including PubMed,Web of science,Ovid,Embase,CINAHL,PsycINFO,Cochrane Library,CNKI,SinoMed,WangFang and Vip,from their inception to June 19th 2021,to collect qualitative studies on CHF patients’ experience of physical activities. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. The results were integrated by integrating methods. Results A total of 11 studies were included. 36 complete findings were grouped according to similarities to form 10 new categories. These categories resulted in 3 synthesized findings. First,the physical activity of patients with CHF were influenced by hindering and facilitating factors. Second,the physical activity brought positive and negative experience to patients with CHF. Third,strategies to improve the compliance of the physical activity in chronic heart failure patients. Conclusion The physical activity was an effective supplementary treatment for patients with CHF. Nurses should mobilize multi-channel support to overcome physical activity obstacles;pay attention to patient experience in order to provide personalized rehabilitation;provide professional physical activity habit formation interventions and improve the compliance of long-term rehabilitation.

Key words: Chronic Heart Failure, Physical Activity, Qualitative Research, Systematic Review, Meta-Synthesis

摘要：

目的 分析与评价慢性心力衰竭患者体力活动的体验。方法 计算机检索PubMed、Web of science、Ovid、Embase、CINAHL、PsycINFO、Cochrane Library、中国知网、中国生物医学文献数据库、万方、维普等数据库,收集慢性心力衰竭患者体力活动体验的质性研究,检索时限为建库至2021年6月19日。采用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,采用汇集性整合方法整合结果。 结果 共纳入11篇研究,提炼出36个研究结果,归纳形成10个新类别,总结得出3个整合结果。整合结果1：慢性心力衰竭患者的体力活动受阻碍和促进因素的影响。整合结果2：体力活动给慢性心力衰竭患者带来积极和消极的双重体验。整合结果3：提升慢性心力衰竭患者体力活动依从性的策略。结论 体力活动是慢性心力衰竭患者有效的补充治疗方法,护理人员应调动多渠道支持,协助患者克服体力活动阻碍因素;重视患者体验,提供个性化护理;促进患者养成体力活动习惯,改善长期康复依从性。

关键词: 慢性心力衰竭, 体力活动, 质性研究, 系统评价, Meta整合