Abstract:

Objective To systematically summarize the psychological experience of lung transplantation recipients to comprehensively understand their needs and to provide better evidence for clinical treatment.Methods We searched databases including Cochrane Library,PubMed,Embase,Web of Science,Medline,PsycINFO,ProQuest,Scopus,CNKI,Wanfang Database,VIP and CBM from the start to January 2021,to collect the literature on qualitative studies of the psychological experience and needs of lung transplant recipients.Results A total of 12 studies were included,and 69 findings were extracted. Similar results were combined into 10 new categories,and then 4 integrated results were integrated,including the decision-making experience of lung transplantation,the joy and gratitude after lung transplantation,the distress caused by lung transplantation,and the adjustment after lung transplantation.Conclusion In the decision-making process of lung transplantation,medical personnel should provide lung transplant recipients and their families with comprehensive postoperative information to help them make a prudent choice after comprehensive consideration. Meanwhile,it is suggested that a follow-up management system should be established after lung transplantation.

Key words: Lung Transplantation, Psychological Experience, Meta-Synthesis, Qualitative Study, Nursing Care

摘要：

目的 系统评价肺移植受者的心理体验,全面了解其需求,探讨其所面临的问题及主要原因,以期为肺移植受者制订针对性的干预策略提供理论依据。方法 计算机检索Cochrane Library、PubMed、Embase、Web of Science、Medline、PsycINFO、ProQuest、Scopus、中国知网、万方数据库、维普科技期刊数据库和中国生物医学文献数据库中关于肺移植受者心理体验及需求的质性研究,检索时限为建库至2021年1月。结果 共纳入12篇文献,提炼出69个研究结果,将相似结果组合形成10个新类别,整合出4个整合结果,包括肺移植的决策经历、肺移植后的喜悦与感恩、肺移植带来的困扰和肺移植后的调适。结论 肺移植决策过程中,医护人员应为肺移植受者及其家属提供全面的肺移植术后相关信息,以帮助其综合考虑后做出审慎的选择;同时建议肺移植术后应建立严格的随访管理制度。

关键词: 肺移植, 心理体验, Meta整合, 质性研究, 护理