造血干细胞移植患者心理体验的Meta整合  

Psychological experience of patients with Hematopoietic Stem Cell Transplantation:a Meta-synthesis

作　　者：刘树佳 顾嘉鑫 胡伟[1] 张鹍[1] 徐晓东[1] 王婷[1] 颜霞[1] LIU Shujia;GU Jiaxin;HU Wei;ZHANG Kun;XU Xiaodong;WANG Ting;YAN Xia(Peking University People's Hospital,Peking University Institute of Hematology,National Clinical Research Center for Hematologic Disease,Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation,Beijing,100044,China)

机构地区：[1]北京大学人民医院、北京大学血液病研究所、国家血液系统疾病临床医学研究中心、造血干细胞移植北京市重点实验室,100044

出　　处：《中国护理管理》2021年第7期1057-1063,共7页Chinese Nursing Management

基　　金：北京大学人民医院护理研究与发展基金(RDN2018-13)。

摘　　要：目的:系统评价造血干细胞移植(HSCT)患者的心理体验。方法:检索Cochrane Library、JBI循证卫生保健国际合作中心图书馆、PubMed、Embase、Scopus、Web of Science、CINAHL、美国心理学数据库、中国知网、中国生物医学文献数据库有关HSCT患者心理体验的质性研究,检索年限为建库至2020年5月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准进行质量评价,采用Meta整合进行结果整合。结果:共纳入18篇研究,提炼出86个明确的研究结果,将相似结果归纳成9个类别,得出HSCT患者消极心理、HSCT患者积极心理、HSCT患者需求迫切和HSCT患者移植后调适4个整合结果。结论:医护人员应关注HSCT患者的心理变化和信息需求,提供必要的支持和帮助,以提高HSCT患者的生活质量。Objective:To synthesize findings of qualitative studies on experience of patients with Hematopoietic Stem Cell Transplantation(HSCT),so as to fully understand patients'psychological needs and provide better evidence for clinical work.Methods:We searched databases including the Cochrane Library,Joanna Briggs Institute Library,PubMed,Embase,Scopus,Web of Science,CINAHL,Psyc INFO,CNKI and CMB from inception to May 2020 to collect qualitative studies on psychological experience of patients with HSCT.The quality of included studies was evaluated with JBI Critical Appraisal Tool for qualitative studies.The results were integrated by integrating methods.Results:A total of 18 studies were included and 86 complete findings were grouped according to similarities to form nine new categories.These categories resulted in four synthesized findings:negative emotions of HSCT patients,positive emotions of HSCT patients,urgent needs of HSCT patients,and post-transplant debugging of HSCT patients.Conclusion:Healthcare workers should pay more attention to the psychological changes and information needs of HSCT patients,and provide necessary support to help improve the quality of life.

关 键 词：造血干细胞移植 心理体验 质性研究 Meta整合 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]