亲属活体器官移植供者真实体验质性研究的Meta整合  

Qualitative studies on the real experience of living related organ transplantation donors from relatives:a Meta-synthesis

作　　者：李珂 贾勤[2] 汪盈盈 吴佳云 戴雅琴[3] 姚利锋 Li Ke;Jia Qin;Wang Yingying;Wu Jiayun;Dai Yaqin;Yao Lifeng(School of Nursing,Zhejiang Chinese Medical University,Hangzhou 310053,China;Medical Teaching Simulation Center,Zhejiang Provincial People's Hospital(People's Hospital of Hangzhou Medical College),Hangzhou 314408,China;Department of Orthopedics,Zhejiang Provincial People's Hospital(People's Hospital of Hangzhou Medical College),Hangzhou 314408,China)

机构地区：[1]浙江中医药大学护理学院,杭州310053 [2]浙江省人民医院(杭州医学院附属人民医院)医学模拟教学中心,杭州314408 [3]浙江省人民医院(杭州医学院附属人民医院)骨科,杭州314408

出　　处：《中华现代护理杂志》2023年第21期2824-2832,共9页Chinese Journal of Modern Nursing

摘　　要：目的系统评价亲属活体器官移植供者真实体验的质性研究,为医护人员制订个性化的干预性措施提供循证依据。方法检索PubMed、Web of Science、Cochrane Library、Embase、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于亲属活体器官移植供者真实体验的质性研究。检索时限为建库至2022年8月31日。采用澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心质性研究质量评价标准对文献进行评价,汇集结果进行Meta整合。结果共纳入15篇文献,提炼出32个研究结果,归纳整合成13个新类别,综合成5个整合结果,分别为决定捐献的动机、移植前面临的压力和挑战、捐献带来的身心不适、捐献产生积极影响、渴望多方面的支持与需求。结论亲属活体器官移植供者在器官捐献过程中存在多重心理体验,护士应动态评估供者面临的压力和挑战,提供多元化支持以满足其需求,帮助供者积极应对,提高供者的生活质量。Objective To systematically evaluate the real experience of living related organ transplantation donors from relatives and provide evidence-based basis for medical and nursing staff to develop personalized intervention measures.Methods Qualitative study on the real experience of living related organ transplantation donors from relatives was searched on PubMed,Web of Science,Cochrane Library,Embase,China National Knowledge Infrastructure,WanFang Data,VIP,and Biology Medicine disc.The search period was from database establishment to August 31,2022.The article was evaluated using the quality evaluation criteria for qualitative study of the Australian Joanna Briggs Institute(JBI)Evidence-Based Healthcare Center.We converged the results and performed Meta-synthesis.Results A total of 15 articles were included,32 research results were extracted,and summarized and integrated into 13 new categories.A total of 5 integration results were synthesized,including the motivation to donate,the pressure and challenges faced before transplantation,the physical and mental discomfort caused by donation,the positive impact of donation,and the desire for support and needs from various aspects.Conclusions Donors of living related organ transplantation have multiple psychological experiences during the process of organ donation.Nurses should dynamically assess the pressure and challenges faced by donors,provide diverse support to meet their needs,help donors actively respond,and improve their quality of life.

关 键 词：器官移植 亲属 供者 真实体验 质性研究 Meta整合 

分 类 号：R473.6[医药卫生—护理学]