永久性结肠造口患者社会心理适应体验的Meta整合  

Experience of postoperative psychosocial adaptation in permanent colostomy patients:a Meta-synthesis

作　　者：羡红涛[1] 徐琰 刘雨骅 杨洋[1] 王欣然[1] 韩斌如[2] XIAN Hongtao;XU Yan;LIU Yuhua;YANG Yang;WANG Xinran;HAN Binru(General Surgery Department,Xuanwu Hospital,Capital Medical University,Beijing,100053,China)

机构地区：[1]首都医科大学宣武医院普外科,北京市100053 [2]首都医科大学宣武医院护理部,北京市100053

出　　处：《中国护理管理》2024年第12期1892-1898,共7页Chinese Nursing Management

基　　金：中华医学会杂志社2019年护理学科研究课题(CMAPH-NRI2019040)。

摘　　要：目的:系统评价永久性结肠造口患者术后居家期间社会心理适应的体验,为临床医护人员提供参考,以改善患者的生活质量。方法:计算机检索中文和英文数据库中有关永久性结肠造口患者术后社会心理适应的质性研究,检索时限为建库至2023年11月17日,使用JBI循证卫生保健中心2016年发布的质性研究评价工具对纳入的文献进行质量评价,采用JBI的Meta整合方法对结果进行整合。结果:共纳入10篇文献,提炼出40个研究结果,归纳成9个新类别,整合成3个结果,即复杂的情绪反应、艰难的心理适应、达成社会心理适应。结论:永久性结肠造口患者术后常出现社会心理适应不良,需要自身主动适应与接受家庭社会支持,临床医护人员应针对患者存在的社会心理问题提供个性化的心理干预和有效的健康教育。Objective:To systematically evaluate the experience of psychosocial adaptation in patients with permanent colostomy at home after surgery,and to provide basis and guidance for clinical medical staff.Methods:The qualitative studies on psychosocial adaptation of enterostomy patients were searched in Chinese and English databases,and the search time was from the establishment of the databases to November 17,2023,using JBI The Evidence-Based Health Care Center's Qualitative Research Evaluation Tool(2016 Edition)evaluated the quality of the included literature,and the results were synthesized using the Meta-integration method.Results:A total of 10 articles were included,and 40 research results were extracted,which were summarized into 9 new categories and integrated into 3 results:complex emotional reactions,difficult psychological adaptation,and achieving psychosocial adaptation.Conclusion:Patients with permanent colostomy often experience psychosocial maladjustment after surgery,and clinical medical staff should provide personalized psychological intervention and effective health education for the psychosocial problems of patients.

关 键 词：肠造口 永久性 术后适应 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]