泌尿造口病人生活体验质性研究的Meta整合  

Qualitative studies on life experience of urostomy patients:a Meta-integration

作　　者：王静[1] 韩艳芳[1] 王园园[2] 张玉瑞 WANG Jing;HAN Yanfang;WANG Yuanyuan;ZHANG Yurui(Huaihe Hospital of Henan University,Henan 475004 China)

机构地区：[1]河南大学淮河医院,河南475004 [2]河南大学第一附属医院 [3]河南大学护理与健康学院

出　　处：《循证护理》2024年第12期2112-2118,共7页Chinese Evidence-Based Nursing

基　　金：2023年度河南省医学科技攻关计划项目,编号:LHGJ20230411。

摘　　要：目的:系统整合泌尿造口病人生活体验的质性研究,为制定针对性干预措施提供参考。方法:计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、EMbase、the Cochrane Library、Web of Science、EBSCO、MedLine、OVID等数据库中关于泌尿造口病人生活体验、感受以及经历相关的质性研究或定性研究,检索时限从建库至2023年9月30日。采用澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心的质性研究质量评价工具对纳入研究进行质量评价后,采用Meta整合的方法对纳入的研究结果进行整合与归纳。结果:共纳入12篇文献,提取出67个主题,归纳出7个类别,最终整合为3个结果,即泌尿造口给病人带来的生理和心理困扰、自我效能和社会功能受损、生活信念的转变。结论:泌尿造口对病人的生理、心理和社会等方面造成诸多困扰,医护人员应完善延续性护理体系,构建医院-社区-家庭联动的支持系统,以期提高病人的生活质量。Objective:To systematically integrate the qualitative research on the life experience of urostomy patients,and provide reference for the formulation of targeted intervention measures.Methods:Computerized searches were conducted for relevant qualitative studies on the life experiences,feelings,and experiences of urostomy patients in the databases of CNIK,WanFang Database,VIP,CBM,PubMed,EMbase,the Cochrane Library,Web of Science,EBSCO,MedLine,and OVID from the time of database construction to September 30,2023.After quality assessment of the included studies using the Australian Centre for Evidence-Based Health Care(JBI) qualitative research quality assessment tool,the results of the included studies were integrated and summarized using Meta-integration.Results:A total of 12 articles were included.A total of 67 themes were extracted,summarized into 7 categories,and finally integrated into 3 outcomes,namely physical and psychological distress,impaired self-efficacy and social functioning,and shifts in life beliefs in patients with urostomy.Conclusion:Urologic stoma brings many disturbances to patients′ physiological,psychological and social aspects,and healthcare professionals should improve the continuity of care system and build a hospital-community-family linkage support system with a view to improving patients′ quality of life.

关 键 词：泌尿造口 生活体验 质性研究 Meta整合 循证护理 

分 类 号：R473.73[医药卫生—护理学]