脊髓损伤患者照顾者照护体验质性研究的Meta整合  

Meta-synthesis of qualitative research on caring experience of caregivers of patients with spinal cord injury

作　　者：陈维 宋新灵[2] 钟亚丽 李博[3] 李智 周蕊 Chen Wei;Song Xinling;Zhong Yali;Li Bo;Li Zhi;Zhou Rui(Graduate School,Guizhou University of Traditional Chinese Medicine,Guiyang 550000,China;Nursing Department,Guizhou Provincial People's Hospital,Guiyang 550002,China;Department of Orthopedics,Guizhou Provincial People's Hospital,Guiyang 550002,China)

机构地区：[1]贵州中医药大学研究生院,贵阳550000 [2]贵州省人民医院护理部,贵阳550002 [3]贵州省人民医院骨科,贵阳550002

出　　处：《中华现代护理杂志》2022年第15期2006-2012,共7页Chinese Journal of Modern Nursing

摘　　要：目的分析与整合脊髓损伤患者照顾者的照护体验。方法计算机检索PubMed、Embase、Web of Science、Cochrane Library、中国知网、万方数据库、维普网、中国生物医学文献数据库等中英文数据库中关于脊髓损伤患者照顾者照护体验的质性研究,检索时限为建库至2020年12月11日。以澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心质性研究质量评价标准对文献质量进行评价,汇集结果进行Meta整合。结果本研究共纳入8项研究,提炼出33个研究结果,归纳出8个新类别,综合成3个整合结果,分别为:整合结果1照顾者心理体验的变化(在长期照护过程,照顾者的心理历程不断发生变化,通过心理支持获得积极照护体验);整合结果2个人及社会关系变化(照顾者因长期照顾患者,个人角色及社会关系受到影响,寻求多重社会支持,逐渐调整并适应);整合结果3照顾知识及技能的改变(由于脊髓损伤的突发性,照顾者缺乏照顾知识及技能,渴望学到更多的照护技巧)。结论脊髓损伤患者照顾者的照护体验涉及多个方面,医护人员应重视照顾者照护需求和真实体验,为其提供专业的照护指导和支持,协助其更好地胜任照顾者角色,改善脊髓损伤患者及其照顾者的身心健康和生活质量。Objective To analyze and synthesize the care experience of caregivers of patients with spinal cord injury.Methods Qualitative research on the care experience of caregivers of patients with spinal cord injury was retrieved by computer in Chinese and English databases such as PubMed,Embase,Web of Science,Cochrane Library,China National Knowledge Infrastructure(CNKI),Wanfang Database,VIP,and China Biomedical Literature Database.The retrieval time was from the establishment of the database to December 11,2020.The quality of the articles was evaluated by the quality evaluation criteria for qualitative research of the Joanna Briggs Institute(JBI)Evidence-Based Health Care Center in Australia,and the results were pooled for Meta-synthesis.Results A total of 8 articles were included,and 33 research results were extracted,and 8 new categories were summarized,and 3 integrated results were synthesized.Integrated result 1 was the change in caregiver's psychological experience(In the process of long-term care,the psychological process of the caregiver was constantly changing,and a positive care experience was obtained through psychological support).Integrated result 2 was the change in personal and social relationships(Caregivers'personal roles and social relationships were affected by taking care of patients for a long time,seeking multiple social supports,and gradually adjusting and adapting).Integrated result 3 was the change in knowledge and skills(Due to the sudden nature of spinal cord injury,caregivers lacked caring knowledge and skills and were eager to learn caring skills).Conclusions The care experience of caregivers of patients with spinal cord injury is multifaceted.Medical and nursing staff should pay attention to the care needs and real experience of caregivers,provide them with professional care guidance and support,help them to be well qualified as caregivers,and improve the physical and mental health and quality of life of patients with spinal cord injury and their caregivers.

关 键 词：脊髓损伤 照顾者 照护体验 质性研究 Meta整合 

分 类 号：R473.6[医药卫生—护理学]