家庭照顾者参与老年多重用药患者药物管理体验的Meta整合  

Medication management experience of family caregivers of aged patients with polypharmacy:a Meta-synthesis

作　　者：郭永攀 董文文 张春慧[1] 牛雨昕 宋方钰 张贤[1] 张振香[1] GUO Yongpan;DONG Wenwen;ZHANG Chunhui;NIU Yuxin;SONG Fangyu;ZHANG Xian;ZHANG Zhenxiang(School of Nursing and Health,Zhengzhou University,Zhengzhou,450001,China)

机构地区：[1]郑州大学护理与健康学院,郑州市450001

出　　处：《中国护理管理》2024年第11期1711-1716,共6页Chinese Nursing Management

基　　金：河南省二〇二四年科技发展计划项目(242102310058)。

摘　　要：目的:整合家庭照顾者参与老年多重用药患者药物管理的体验,为制定用药个性化支持策略提供参考。方法:检索中英文相关数据库,检索时限为建库至2023年12月26日,对符合纳入标准的研究文献进行质量评价,依据质性研究的Meta整合原理进行归纳。结果:共纳入11篇文献,提炼出39个研究结果,归纳为13个新的类别,汇总成4个整合结果:家庭照顾者承担的任务及参与类型、家庭照顾者参与药物管理的影响因素、家庭照顾者面临的挑战及其需求、家庭照顾者在参与过程中采取的有效策略。结论:家庭照顾者参与药物管理体验复杂多样,医护人员应尊重药物管理实践中不同参与类型的照顾者,为其提供个性化引导,改善照顾者参与体验,为老年多重用药患者及其照顾者提供药物管理支持服务。Objective:To systematically evaluate the medication management experience of family caregivers of aged patients with polypharmacy to provide a reference for developing individualized support strategies for family caregivers to participate in medication management.Methods:We searched both Chinese and English databases to include eligible literatures whose quality was later evaluated.The retrieval time limit was from the inception to 26th,December 2023.The results were summarized using the meta-synthesis of qualitative research.Results:A total of 11 articles were included from which 39 research topics were extracted and summarized into 13 new categories.The new categories were grouped into 4 integrated findings:the tasks and participation types of family caregivers;influencing factors of family caregivers'participation in medication management;the challenges and needs of family caregivers;the effective strategies adopted by family caregivers in the process of medication management.Conclusion:The experience of family caregivers participating in medication management is complex and diverse.Medical staff should respect the different participation types caregivers in medication management practice and provide professional and individualized guidance for them to improve their participation experience,and provide medication management support services for elderly patients with polypharmacy and their caregivers.

关 键 词：多重用药 老年人 家庭照顾者 药物管理 体验 Meta整合 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]