社区居民参与预立医疗照护计划质性研究的Meta整合  

Meta-synthesis for qualitative studies on community residents participating in advance care planning

作　　者：张学靓 马晓萌[1] 张馨 许翠萍 Zhang Xuejing;Ma Xiaomeng;Zhang Xin;Xu Cuiping(School of Nursing and Rehabilitation,Shandong University,Jinan 250012,China)

机构地区：[1]山东大学护理与康复学院,山东济南250012 [2]山东第一医科大学护理学院 [3]山东大学附属千佛山医院护理部

出　　处：《护理学杂志》2023年第1期108-112,共5页Journal of Nursing Science

基　　金：山东省自然科学基金项目(ZR202102280528);中华护理学会科研课题项目(ZHKY202029);济南市科技计划项目(临床医学科技创新计划)(202019199)。

摘　　要：目的探讨社区居民参与预立医疗照护计划的促进与阻碍因素,为预立医疗照护计划的推广实践提供参考。方法计算机检索PubMed、Web of Science、Cochrane Library、Embase、中国知网、维普网、万方数据库建库至2022年2月发表的关于社区居民参与预立医疗照护计划真实体验的质性研究,采用汇集性整合方法进行Meta整合。结果纳入12篇文献,提炼53个结果,经分析汇总成14个类别,最终进一步归纳成4个整合结果,即社区居民对预立医疗照护计划的认识、社区居民对预立医疗照护计划的态度、社区居民参与预立医疗照护计划的影响因素及对实施预立医疗照护计划的建议。结论社区居民对预立医疗照护计划的认知不足,社区医务人员需加强社区预立医疗照护计划推广宣传,同时丰富社区预立医疗照护计划实践方式,促进“以家庭为中心”的预立医疗照护计划干预模式。Objective To explore the promoting and hindering factors of community residents′participation in advance care planning(ACP)and provide reference for the promotion practice of ACP.Methods Qualitative studies relating to community residents′live experience of ACP were retrieved from electronic databases of PubMed,Web of Science,Cochrane Library,Embase,Chinese National Knowledge Infrastructure,VIP,Wanfang data from inception to February,2022.A meta-synthesis was performed to summarize and interpret the research results.Results A total of 12 literatures were included,53 findings were extracted,summarized into 14 categories and four integrated findings,including community residents′awareness of ACP,community residents′attitudes towards ACP,influencing factors of community residents′participation in ACP and suggestions for the implementation of ACP.Conclusion Community residents have insufficient awareness of the ACP,thus the community medical staff should strengthen the promotion and publicity of ACP in the community,enrich its practice mode,and promote the"family-centered"intervention model of the ACP.

关 键 词：社区居民 社区护理 预立医疗照护计划 预立医疗指示 生前预嘱 质性研究 Meta整合 

分 类 号：R473.2[医药卫生—护理学] R48[医药卫生—临床医学]