女性不孕症患者心理体验质性研究的Meta整合  

The psychological experience of female infertility patients:a meta-synthesis of qualitative studies

作　　者：阚丽君[1] 杜培娟 邓春梅 韩圆 KAN Lijun;DU Peijuan;DENG Chunmei;HAN Yuan(First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin Heilongjiang 150040;Heilongjiang University of Chinese Medicine)

机构地区：[1]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [2]黑龙江中医药大学

出　　处：《天津护理》2021年第4期408-413,共6页Tianjin Journal of Nursing

摘　　要：目的:系统评价女性不孕症患者心理体验的质性研究,为更好地制定心理干预方案提供理论依据。方法:计算机检索Web of Science、PubMed、EMbase、The Cochrane Library及中国知网、维普、万方等数据库中与研究主题相符的质性研究文献,检索日期为建库到2020年12月,采用2016版澳大利亚循证卫生保健中心质性研究质量评价标准对文献进行质量评价,应用汇集性整合的方法进行Meta整合。结果:共纳入9篇文献,提炼49个结果,归纳成6个新的类别,综合成3个整合结果。①不孕症患者的负性心理问题,包括负性情绪表现、心理压力来源;②不孕症患者的正性心理感受,包括坚定的信念、重新规划未来;③不孕症患者的心理支持需求,包括配偶亲属的支持、社会的支持、专业人士的支持。结论:医务人员应重视不孕症患者的负性心理问题,重视不孕症患者的正性心理感受,构建并完善不孕症患者的社会支持系统满足其心理支持需求。Objective:To systematically evaluate the qualitative studies on the psychological experience of female infertility patients,so as to provide a theoretical basis for better formulation of psychological intervention programs.Methods:Web of Science,PubMed,EMbase,The Cochrane Library,CNKI,Weipu,Wanfang and other databases were searched for qualitative studies on psychological experience in female infertility patients,and the retrieval period was from inception to December 2020.The Joanna Briggs Institute Critical Appraisal Tool for qualitative researches(2016)in Australia was used to evaluate quality of the studies.The results were integrated by a meta-synthesis method.Results:9 studies were included in the final review.Totally 49 findings were extracted,6 new categories were generated,3 integrated results were synthesized.①Negative psychological problems in infertility patients,including negative emotional expression,source of psychological stress;②Positive psychological experience of infertility patients,including firm faith,reframe the future;③Psychological support needs of infertility patients,including support from spouses and relatives,social support,professional support.Conclusion:Medical staff should pay attention to the negative psychological problems and the positive psychological feelings of infertility patients.Through the construction and improvement of infertility patients social support system to meet their psychological support needs.

关 键 词：不孕症 心理体验 质性研究 Meta整合 

分 类 号：R473.71[医药卫生—护理学]