体外膜肺氧合治疗患者生活体验与需求质性研究的Meta整合  

A Meta-synthesis of qualitative research on life experience and needs of patients treated with extracorporeal membrane oxygenation

作　　者：陈园园 姚瑞山 万佳[1] 黄晓晴 边婷婷[1] 黄辉辉 马梦琳 Chen Yuanyuan;Yao Ruishan;Wan Jia;Huang Xiaoqing;Bian Tingting;Huang Huihui;Ma Menglin(Intensive Care Unit,Union Hospital,Tongji Medical College,Huazhong University of Scienceand Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院重症医学科,湖北武汉430022

出　　处：《护理学杂志》2024年第22期43-47,51,共6页Journal of Nursing Science

基　　金：协和医院院内科学研究基金“药技护”专项基金项目(2023XHYN094)。

摘　　要：目的系统评价体外膜肺氧合治疗患者的生活体验和需求,为提高患者的生活质量提供参考。方法检索PubMed、Embase、Web of Science、Cochrane Library、Scopus、CINAHL、ProQuest、ScienceDirect、中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库,收集从建库至2024年3月收录的关于体外膜肺氧合治疗患者生活体验及需求的质性研究。依据JBI质性研究质量评价标准评价文献质量,原始研究结果采用Meta整合法进行整合。结果共纳入9篇文献,提取42个主题,归纳为8个类别,最终形成3个整合结果:体外膜肺氧合治疗会改变生活,但值得选择;积极调适,重塑生活;回归正常生活的需求。结论体外膜肺氧合治疗会改变患者的身心状态,应完善患者的社会支持网络,并针对性地提供延续性康复医疗服务和护理,协助其尽早回归正常生活。Objective To systematically evaluate the life experience and needs of patients treated with extracorporeal membrane oxygenation(ECMO),and to provide a reference for improving the quality of life of the patients.Methods PubMed,Embase,Web of Science,Cochrane Library,Scopus,CINAHL,ProQuest,Science Direct,China National Knowledge Infrastructure(CNKI),Wanfang Data,VIP Database,SinoMed were searched to collect qualitative studies on the life experience and needs of patients treated with ECMO from the inception of the database to March 2024.The quality of the literature was evaluated according to the JBI quality evaluation criteria for qualitative studies,and the results of the original studies were integrated using the Meta integration method.Results A total of 9 studies were included,42 themes were extracted and grouped into 8 categories,and 3 synthesized findings were formed:ECMO therapy is life-changing but worth choosing;positive adjustment to reshape life;and the need to return to normal life.Conclusion ECMO therapy changes patients'physical and mental states,and the social support network for the patients should be improved and targeted to provide continuity of rehabilitation medical services and care to assist their early return to normal life.

关 键 词：体外膜肺氧合 危重症患者 呼吸衰竭 心力衰竭 生活体验 需求 质性研究 Meta整合 

分 类 号：R473[医药卫生—护理学]