护士主导的病人术前访视体验与需求的Meta整合  

A Meta-integration of patients′experiences and needs in nurse-led preoperative visit

作　　者：杨妮 侯建同 高英丽 王凤玲[2] YANG Ni;HOU Jiantong;GAO Yingli;WANG Fengling(Nursing College of Shandong First Medical University&Shandong Provincial Academy of Medical Sciences,Shandong 271016 China)

机构地区：[1]山东第一医科大学(山东省医学科学院)护理学院,山东271016 [2]临沂市人民医院

出　　处：《循证护理》2024年第19期3434-3441,共8页Chinese Evidence-Based Nursing

基　　金：山东省自然科学基金青年项目,编号:ZR2021QH312。

摘　　要：目的:系统评价病人参与术前访视的体验及需求,为优化临床护理术前访视质量提供参考。方法:计算机检索PubMed、Web of Science、EMbase、CHINAL、the Cochrane Library、中国知网、维普数据库、万方数据库、中国生物医学文献数据库等有关护患参与的术前访视体验及需求的质性研究文献。检索时限为建库至2023年10月。依据2016版澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心制定的质性研究质量评价标准进行文献质量评价,采用汇集性整合方法对结果进行整合分析。结果:共纳入11篇文献,包括6项现象学研究、5项描述性质性研究;提炼出44个研究结果,归纳为10个新类别,综合成3个整合结果:病人在术前阶段承受身心压力;多方面支持的需求;正性行为可促进病人健康。结论:现有证据表明,术前访视阶段,护理工作应聚焦于病人的心理情绪及信息需求,提供多方面的支持,协助病人平稳度过术前阶段,增强疾病康复信心,提升整体满意度。Objective:A systematic evaluation of patients′experiences and needs for participation in preoperative visits to inform the optimization of the quality of preoperative visits in clinical care.Methods:Computerized searches were conducted in PubMed,Web of Science,EMbase CHINAL,the Cochrane Library,CNKI,VIP,WanFang Database,CBM,and other relevant databases for qualitative research literature on the experiences and needs of patients and nurses participating in preoperative visits.The retrieval time was from the inception to October 2023.Evaluate the quality of the literature based on the quality assessment criteria for qualitative studies developed by the Centre for Evidence-Based Health Care of the Joanna Briggs Institute,Australia,2016 edition,and the results were integrated and analysed by using a pooled integration approach.Results:A total of 11 articles were included,including 6 phenomenological studies and 5 descriptive qualitative studies.44 findings were distilled,grouped into 10 new categories,and synthesized into three integrative findings:patients undergo physical and psychological stress in the preoperative phase,the need for multifaceted support,positive behaviors can promote patient health.Conclusion:Current evidence shows that in the preoperative stage,nursing care should focus on the patient′s psycho-emotional and information needs,provide multifaceted support,assist the patient in a smooth transition to the preoperative stage,enhance confidence in disease recovery,and improve overall satisfaction.

关 键 词：术前访视 质性研究 体验 需求 护士主导 病人参与 Meta整合 循证护理 

分 类 号：R47[医药卫生—护理学]