糖尿病患者进行视网膜病变筛查影响因素的Meta整合  

Influencing factors of Diabetic Retinopathy screening in diabetic patients:a Meta-synthesis

作　　者：王彩丽 刘德山[2] 范春梅 高伟[3] 梁晓灿 闫畅 吴晓琦 WANG Caili;LIU Deshan;FAN Chunmei;GAO Wei;LIANG Xiaocan;YAN Chang;WU Xiaoqi(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,济南市250012 [2]山东大学齐鲁医院中医疼痛科 [3]山东大学齐鲁医院PICC门诊 [4]山东大学齐鲁医院内分泌科

出　　处：《中国护理管理》2024年第8期1233-1238,共6页Chinese Nursing Management

基　　金：山东大学2023年度校级教育教学改革研究一般项目(2023Y088)。

摘　　要：目的:系统评价和整合糖尿病患者进行DR筛查影响因素的质性研究,为制定提高糖尿病患者DR筛查率的管理策略提供依据。方法:计算机检索中、英文数据库中与糖尿病患者进行DR筛查相关的质性研究,检索时限为建库至2024年3月31日。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进行质量评价,并采用汇集性整合方法进行整合。结果:共纳入18篇文献,提炼出24个主要结果,归纳为8个类别,合成患者自身因素、家庭和社会因素、医疗环境因素3个整合结果。结论:发现糖尿病患者进行DR筛查有诸多阻碍和促进因素,因此,需要强化对糖尿病患者的DR筛查教育,同时应重视发挥家庭和社会在糖尿病患者DR管理中的作用,提高糖尿病人群DR预防意识,促进糖尿病患者视力健康。Objective:To systematically review and integrate qualitative studies on the influencing factors of Diabetic Retinopathy(DR)screening in diabetic patients.Methods:PubMed,Web of Science,Embase,Cochrane Library,China National Knowledge Infrastructure,WanFang Database,VIP Database,and China Biology Medicine Disc were searched to collect qualitative studies related to DR screening in diabetic patients.The search time limit was from the establishment of the database to March 31,2024.The quality evaluation was carried out using the quality evaluation standard for qualitative research of the Australian JBI Evidence-based Health Care Center,and the Meta-integration was carried out using the aggregative synthesis.Results:A total of 18 articles were included,and 24 main findings were extracted,which were summarized into 8 categories and summarized into 3 integrated results:individual factors;family and social factors and medical context.Conclusion:There are many barriers and facilitators for DR screening in diabetic patients.It is necessary to strengthen the education of DR Screening for diabetic patients.At the same time,we should pay attention to the role of social and family in the management of DR in diabetic patients,improve the awareness of DR prevention in diabetic population,and promote the health of vision in diabetic patients.

关 键 词：糖尿病 糖尿病视网膜病变 影响因素 质性研究 Meta整合 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]