医疗保健人员对心力衰竭患者安宁疗护态度和经验的Meta整合  

Attitude and experience of health care personnel on hospice care for patients with heart failure:a meta-synthesis

作　　者：杨浩杰 胡宇乐 张辰 周彦君 张哲 李茹 梁涛[1] Yang Haojie;Hu Yule;Zhang Chen;Zhou Yanjun;Zhang Zhe;Li Ru;Liang Tao(School of Nursing,Chinese Academy of Medical Sciences&Beijing Union Medical College,Beijing 100144,China;Nursing Department,Fuwai Hospital of Chinese Academy of Medical Sciences,Beijing 100730,China;Intensive Care Unit,Internal Medicine Intensive Care Departments,Fuwai Hospital of Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院护理学院,北京100144 [2]中国医学科学院阜外医院护理部,北京100730 [3]中国医学科学院阜外医院内科重症病区ICU,北京100730

出　　处：《中华现代护理杂志》2022年第36期5036-5043,共8页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2021—2022年护理学科研究课题(CMAPH-NRP2021020);中国医学科学院阜外医院青年科研基金(2022-FWQN20)。

摘　　要：目的系统整合医疗保健人员对心力衰竭患者安宁疗护态度和经验的质性研究,为更好地开展安宁疗护提供证据支持。方法计算机检索PubMed、Embase、Web of Science、CINAHL、中国知网、中国生物医学文献数据库、维普网和万方数据库,筛选医疗保健人员对心力衰竭患者安宁疗护态度和经验的质性研究,检索时限为建库至2022年7月1日。采用澳大利亚Joanna Briggs Institute循证卫生保健中心质性研究质量评价标准对纳入的文献进行质量评价,采用汇集性整合法对结果进行整合。结果共纳入文献15篇,提炼出61个研究结果,诠释归纳出3个整合结果,分别为心力衰竭患者安宁疗护的介入时机、障碍因素和促进策略,共包含9个类别。结论医疗保健人员应在心力衰竭早期介入安宁疗护,且需考虑患者及家属的意愿、需求及患者的预后。医疗保健人员要加强多学科协作,与患者及家属加强沟通;有关部门需从政策方面给予引导支持,加强对医疗保健人员、患者及家属的宣传教育;多方共同努力将安宁疗护整合至心力衰竭患者的疾病管理中,提高患者的生命质量。Objective To systematically synthesize the qualitative research on the attitude and experience of health care personnel towards the hospice care of patients with heart failure,so as to provide evidence support for hospice care.Methods Qualitative research on the attitude and experience of health care personnel towards the hospice care of patients with heart failure was retrieved through computers in PubMed,Embase,Web of Science,CINAHL,China National Knowledge Infrastructure(CNKI),China Biomedical Literature Database,VIP and Wanfang.The retrieval time limit was from the establishment of the database to July 1,2022.The quality of the included article was evaluated using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center in Australia.The results were synthesized using the aggregation synthesis method.Results Totally 15 articles were included.A total of 61 results were extracted,and 9 categories were included and 3 synthetic results were synthesized and summarized,namely,the timing of intervention,obstacle factors and promotion strategies of hospice care for patients with heart failure.Conclusions Health care personnel should involve in hospice care in the early stage of heart failure and take into account the wishes,needs of patients and their families and prognosis of patients.Health care personnel should strengthen multidisciplinary cooperation and communication with patients and their families.Relevant departments need to provide guidance and support from the policy aspect,and strengthen the publicity and education of health care personnel,patients and their families.We will work together to integrate hospice care into the disease management of patients with heart failure,so as to improve the quality of life of patients.

关 键 词：心力衰竭 安宁疗护 态度 Meta整合 

分 类 号：R473.5[医药卫生—护理学]