心力衰竭患者运动康复依从性影响因素质性研究的Meta整合  

Meta integration of qualitative research on influencing factors of exercise rehabilitation adherence in patients with heart failure

作　　者：于甜栖 孙国珍[1,2] 高敏 Yu Tianxi;Sun Guozhen;Gao Min(School of Nursing,Nanjing Medical University,Nanjing 211166,China;Department of Cardiology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学护理学院,南京211166 [2]南京医科大学第一附属医院心血管内科,南京210029

出　　处：《中华现代护理杂志》2022年第5期568-574,共7页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金面上项目(72074124);"十三五"江苏省重点学科项目护理学(苏教研[2016]9号)。

摘　　要：目的系统评价影响心力衰竭患者运动康复依从性的因素,为制定干预策略提供理论依据。方法检索PubMed、Web of Science、Cochrane Library、JBI Library、Embase、CINAHL、Medline、PsycINFO、OVID、CENTRAL和中国生物医学文献数据库、中国知网、万方数据库、维普网从建库至2020年11月31日运动康复依从性影响因素相关的质性研究。采用澳大利亚JBI循证卫生保健中心(2016)质性研究质量评价标准进行评价,运用Meta整合方法对结果进行整合。结果共纳入10篇文献,提炼出22个结果,归纳出5个新的类别,得到2个整合结果:(1)患者自身因素。身体健康状况、运动行为意向以及运动体验。(2)外部因素。环境和资源。结论心力衰竭患者运动康复依从性受多维因素影响,医务人员在制定干预策略时应从改善患者健康状况、激发运动行为意向、引导正反馈体验出发,同时提供必要的运动环境和资源支持,以提高心力衰竭患者运动康复依从性。Objective To systematically review the factors affecting adherence with exercise rehabilitation in patients with heart failure,so as to provide a theoretical basis for formulating intervention strategies.Methods PubMed,Web of Science,Cochrane Library,JBI Library,Embase,CINAHL,Medline,PsycINFO,OVID,CENTRAL,Chinese Biomedical literature Database,China National Knowledge Infrastructure,Wanfang Database and VIP Database were searched for qualitative studies on the influencing factors of exercise rehabilitation adherence from the establishment of the databases to November 31,2020.The evaluation was performed using the Australian JBI Evidence-Based Health Care Center(2016)qualitative research quality evaluation criteria,and the results were integrated using the Meta integration method.Results A total of 10 studies were included,22 research results were extracted,5 new categories were summarized and 2 integrated results were obtained.The first was the patients'own factors,including physical health status,exercise behavior intention and exercise experience.The second was external factors,including the environment and resources.Conclusions The adherence of exercise rehabilitation in patients with heart failure is affected by multi-dimensional factors.When formulating intervention strategies,medical staff should start from improving health status of patients,stimulating exercise behavior intention and guiding positive feedback experience,and at the same time provide necessary exercise environment and resource support to improve adherence with exercise rehabilitation in patients with heart failure.

关 键 词：心力衰竭 运动康复依从性 影响因素 质性研究 Meta整合 

分 类 号：R473.5[医药卫生—护理学]