心肌梗死患者运动康复依从性影响因素质性研究的Meta整合  

Meta-synthesis of qualitative research on influencing factors of exercise rehabilitation compliance for patients with myocardial infarction

作　　者：黄润枝 郑贝贝 金建芬 单银娣 陈婷婷[1] 宣秀琳 Huang Runzhi;Zheng Beibei;Jin Jianfen;Shan Yindi;Chen Tingting;Xuan Xiulin(Affiliated Hangzhou First People’s Hospital,Zhejiang University School of Medicine,Hangzhou Zhejiang 310006,China)

机构地区：[1]浙江大学医学院附属杭州市第一人民医院,浙江杭州310006

出　　处：《护理与康复》2023年第5期1-7,共7页Journal of Nursing and Rehabilitation

基　　金：杭州市医药卫生科技项目,编号A20220657;浙江省医药卫生科技计划项目,编号2022KY239;浙江省医药卫生科技计划项目,编号2022KY246。

摘　　要：目的系统评价心肌梗死患者运动康复依从性影响因素,为制定干预策略提供理论依据。方法检索Cochrane Library、CINAHL、PsycINFO、PubMed、Web of Science、Embase、中国生物医学文献数据库、中国知网、万方数据知识服务平台、维普资讯中文期刊服务平台从建库至2022年4月30日收录的关于心肌梗死患者运动康复依从性影响因素的质性研究。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准评价文献质量,并运用Meta整合方法进行整合。结果共纳入了9篇文献,提炼出59个研究结果,形成5个新类别,汇总成2个整合结果:自身因素,包括个人认知、运动康复行为;外部因素,包括运动康复项目因素、情感支持、环境因素。结论心肌梗死患者运动康复依从性受多因素影响,应找准突破口,避开阻碍因素,营造积极因素,提高患者运动康复依从性,改善患者生活质量。Objective To review the influencing factors of exercise rehabilitation compliance systematically for patients with myocardial infarction(MI)and provide reference for developing intervention measures.Method Search Cochrane Library,CINAHL,PsycINFO,PubMed,Web of Science,Embase,CBMdisc,CNKI,Wanfang and VIP for qualitative researches on influencing factors of exercise rehabilitation compliance for patients with MI from beginning of database to Apr.30th 2022.Evaluate the literature quality according to JBI evidence-based health center’s quality evaluation standard on qualitative research and perform Meta-synthesis.Result Totally nine articles are included and 59 research results are extracted,forming five new categories,which are concluded into two synthesis results:individual factors,including individual cognition and exercise rehabilitation behavior;external factors,including factors of exercise rehabilitation items,emotional support and environmental factors.Conclusion Exercise rehabilitation compliance for patients with MI is influenced by many factors.Finding out the breakthrough,avoiding obstacles and creating positive factors can improve exercise rehabilitation compliance and quality of life for patients with MI.

关 键 词：心肌梗死 运动康复 依从性 质性研究 Meta整合 

分 类 号：R493[医药卫生—康复医学]