成人大便失禁应对体验的定性系统评价  

Experience of Fecal Incontinence among adults: a systematic review of qualitative studies

作　　者：赵媛媛[1] 顾洁[2] 张媛媛[1] 吴振云[1] 杨小辉[3] 钮美娥[4] 

机构地区：[1]苏州大学护理学院,江苏省215006 [2]苏州大学附属第一医院消化科 [3]苏州大学附属第一医院ICU [4]苏州大学附属第一医院护理部

出　　处：《中国护理管理》2018年第3期339-344,共6页Chinese Nursing Management

基　　金：苏州市科技计划项目(SYS201615)

摘　　要：目的:分析成人大便失禁的症状体验、应对策略及在寻求帮助过程中所存在的障碍。方法:检索时间从1976年至2017年4月的,数据库包括Pubmed,EMbase,Ovid,EBSCO(CINAHL、Psyc INFO),CBM,CNKI,共检索出2 367篇文献,并对其进行筛选,采用CASP工具进行文献质量评价,采用主题综合的方法对符合纳入标准的文献进行整合。结果:共纳入16项研究,主题综合形成三大核心主题:体验、应对、寻求帮助。结论:大便失禁给患者带来各种生理上和心理上的症状负担,其中情感应对是主要应对方式,且大部分患者回避寻求医务人员帮助。因此,消除患者寻求帮助障碍以及指导患者如何应对是未来需要深入探索的问题。Objective： To investigate the symptom experiences, coping strategies and help-seeking barriers of adult Fecal Incontinence. Methods： A systematic search strategy identified qualitative studies exploring the experience of Fecal Incontinence. Databases included Pubmed, Embase, Ovid, EBSCO （CINAHL, PsycINFO）, CBM, CNKI. Articles were retrieved from 1976 to April 2017. Study eligibility and data extraction were independently completed using the Critical Appraisal Skills Programme for qualitative studies. Results： Of 2 367 studies, sixteen studies fulfilled the inclusion criteria. A thematic synthesis identified three core themes： experience, coping and help-seeking. Conclusion： Fecal Incontinence brings various physiological and psychological burdens to patients. Emotional coping is the main coping style of patients and most patients avoid seeking medical help. How to eliminate the help-seeking barriers and to better cope with Fecal Incontinence as a result, requires further enquiry.

关 键 词：大便失禁 应对 定性研究 综述 

分 类 号：R47[医药卫生—护理学]