多囊卵巢综合征患者生活方式改善体验质性研究的Meta整合  

Meta-integration of qualitative studies on experience of lifestyle improvement in patients with polycystic ovary syndrome

作　　者：张宁[1] 孙小玲[2] 卢山 刘才琪 张成果 孟芳芳 Zhang Ning;Sun Xiaoling;Lu Shan;Liu Caiqi;Zhang Chengguo;Meng Fangfang(Drum Tower Clinical Medical College,Jiangsu University,Nanjing 210008,China;Jiangbei Clinic,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;Department of Cardiothoracic Surgery,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210046,China;Medical School of Nanjing University,Nanjing 210008,China)

机构地区：[1]江苏大学鼓楼临床医学院,南京210008 [2]南京大学医学院附属鼓楼医院江北门诊,南京210008 [3]南京大学医学院附属鼓楼医院心胸外科,南京210008 [4]南京中医药大学护理学院,南京210046 [5]南京大学医学院,南京210008

出　　处：《中华现代护理杂志》2022年第28期3860-3867,共8页Chinese Journal of Modern Nursing

基　　金：江苏省妇幼保健协会科研课题(FYX202106);南京大学医学院附属鼓楼医院重点课题(ZSR129-2)。

摘　　要：目的系统评价多囊卵巢综合征(PCOS)患者生活方式改善体验的质性研究,为制订可操作性强的生活方式管理措施提供依据。方法计算机检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、Scopus、Science Direct、中国生物医学文献数据库、中国知网、万方、维普等中英文数据库,搜索关于PCOS患者生活方式改善体验的质性研究,检索时限为2016年1月1日—2021年11月30日。根据澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心质性研究质量评价标准(2016版),运用汇集性整合方法对研究结果进行整合。结果共纳入9篇研究,提炼出58个明确的研究结果,将相似的研究结果归纳形成13个新类别,综合出3个整合结果:PCOS患者进行生活方式改善的动机、PCOS患者生活方式改善的感知障碍、PCOS患者逐渐适应生活方式改善的原因。结论医护人员应立足PCOS患者生活方式改善动机推动其健康管理内驱力,借助移动应用程序帮助PCOS患者克服生活方式改善中的障碍因素,医疗机构-家庭-社会多元联动为患者提供全方面、系统的支持,同时,组建多学科管理团队共同参与患者个性化生活方式改善以提高其健康促进生活方式水平。Objective To systematically review the qualitative studies on the experience of lifestyle improvement in patients with polycystic ovary syndrome(PCOS),so as to provide a basis for formulating operable lifestyle management measures.Methods PubMed,Web of Science,Embase,CINAHL,Cochrane Library,Scopus,Science Direct,China Biomedical Literature Database,China National Knowledge Infrastructure,Wanfang,VIP and other Chinese and English databases were searched by computer.Qualitative studies on the experience of lifestyle improvement in PCOS patients were searched from January 1,2016 to November 30,2021.According to the Joanna Briggs Institute(JBI)Evidence-based Health Care Center Qualitative Research Quality Assessment Criteria(2016 edition),the pooled integration method was used to integrate the research results.Results A total of 9 studies were included,58 clear study results were extracted,similar study results were summarized into 13 new categories and 3 integrated results were synthesized including,including the motivation of PCOS patients to improve their lifestyle,the perceived obstacles of PCOS patients to improve their lifestyle and the reasons for PCOS patients to gradually adapt to the improvement of their lifestyle.Conclusions Medical staff should promote the internal drive of health management based on the motivation of lifestyle improvement of PCOS patients,help PCOS patients overcome obstacles in lifestyle improvement with the help of mobile applications and provide comprehensive and systematic support for patients through the multi-linkage of medical institutions,family and society.At the same time,a multidisciplinary management team is formed to jointly participate in the improvement of patients'individualized lifestyle to improve their health-promoting lifestyle level.

关 键 词：多囊卵巢综合征 生活方式改善 体验 质性研究 Meta整合 

分 类 号：R711.75[医药卫生—妇产科学]