Abstract:

Objective To systematically evaluate qualitative studies on the home care experiences of family caregivers of patients with left ventricular assist device implantation，and to provide a reference for developing individualized support strategies. Methods A comprehensive computer search was conducted in domestic and foreign electronic databases for articles related to the caring experience of family caregivers of patients with left ventricular assist device implantation. The search time frame was limited from the inception of database through July 2025. Literature quality was evaluated using the Australian JBI Centre for Evidence-Based Health Care Literature Quality Assessment Criteria for Qualitative Research，and the results were integrated by the aggregative integration method. Results A total of 11 studies were included，from which 50 findings were extracted，categorized into 9 new categories and further synthesized into 3 integrated outcomes：significant physical and mental exhaustion under the heavy burden of caregiving，difficulties and challenges in the caregiving process，adaptation and growth of caregiving roles. Conclusion Family caregivers of patients with left ventricular assist device implantation face complex physical and mental challenges and many difficulties and needs during home care. A multi-dimensional support system can be established in the future，including psychological support，professional guidance and remote care，to provide comprehensive healthcare services for patients and their families，to help caregivers adapt to and transform their roles and improve their quality of care and life.

Key words: Left Ventricular Assist Device, Family Caregiver, Home Care, Caring Experience, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

摘要：

目的 系统评价左心室辅助装置植入患者照顾者居家照护体验的质性研究，为制订个性化支持策略提供参考。方法 计算机检索中英文数据库从建库至2025年7月收录的关于左心室辅助装置植入患者家庭照顾者照护体验的质性研究，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，运用汇集性整合法进行结果整合。结果 共纳入11篇文献，提炼出50个研究结果，归纳为9个新类别，综合成3个整合结果：照护重负下的身心耗竭显著；照护过程中的困境与挑战；照护角色的适应与成长。结论 左心室辅助装置植入患者照顾者居家照护期间面临复杂的身心挑战和诸多困难与需求。未来可从心理支持、专业指导和远程护理等方面建立多维度支持系统，为患者及其家庭提供全面的医疗保健服务，以帮助照顾者实现角色适应与转换，提高其照护质量及生活质量。

关键词: 左心室辅助装置, 家庭照顾者, 居家照护, 照护体验, 质性研究, Meta整合, 循证护理学