成人初显期1型糖尿病患者疾病体验质性研究的Meta整合  

Meta-synthesis of qualitative studies on the disease experience of adults with newly diagnosed type 1 diabetes

作　　者：赵宝生 王文筱 柳晶 Zhao Baosheng;Wang Wenxiao;Liu Jing(Emergency Center,Affiliated Provincial Hospital of Shandong First Medical University,Jinan 250021,China;Department of Endocrinology,Affiliated Provincial Hospital of Shandong First Medical University,Jinan 250021,China)

机构地区：[1]山东第一医科大学附属省立医院急救中心,济南250021 [2]山东第一医科大学附属省立医院内分泌科,济南250021

出　　处：《中华现代护理杂志》2025年第2期211-216,共6页Chinese Journal of Modern Nursing

摘　　要：目的系统评价成人初显期1型糖尿病患者的真实经历和心理感受。方法计算机检索PubMed、CINAHL、Embase、Web of Science、Cochrane Library、中国知网、万方数据库、维普网、中国生物医学文献数据库中有关成人初显期1型糖尿病患者的真实经历和心理感受的质性研究,检索时限为建库至2023年1月10日。采用2016版澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准进行文献质量评价,采用Meta整合方法对结果进行整合分析。结果共纳入9篇文献,提炼出56个研究结果,归纳为负性的身心体验(身体意向紊乱、思想与情绪冲击);角色转变困难与疾病管理受挫(疾病介导的角色转变障碍、疾病管理模式适应不良);应对与感悟(自我管理与多元支持、未来生活的希冀与担忧)6个新类别3个整合结果。结论亟须关注患者负性的身心体验,增强多元救助,深化综合干预,聚焦心理健康的长远发展,协助角色转变,制订系统的、共享的、个性化的疾病管理策略。ObjectiveTo systematically evaluate the real-life experiences and psychological feelings of adults with newly diagnosed type 1 diabetes.MethodsA computer-based search was conducted in PubMed,CINAHL,Embase,Web of Science,Cochrane Library,China National Knowledge Infrastructure,Wanfang Data,VIP,and China Biology Medicine disc for qualitative studies on the real experiences and psychological feelings of adults with newly diagnosed type 1 diabetes,with a search deadline of January 10,2023.Literature quality was assessed using the 2016 edition of the Australian Joanna Briggs Institute's qualitative research quality evaluation standards,and the results were integrated using a meta-synthesis method.ResultsA total of 9 studies were included,yielding 56 findings,which were categorized into 6 new themes:negative physical and psychological experiences(physical disorder,impact on thoughts and emotions);difficulty in role transition and frustration in disease management(disease-mediated role transition obstacles,poor adaptation to disease management models);coping and insights(self-management and multiple forms of support,hope and concerns for the future).Three integrated outcomes were identified.ConclusionsThere is an urgent need to focus on the negative physical and psychological experiences of patients,enhance multiple forms of support,deepen comprehensive interventions,and focus on the long-term development of mental health.Supporting role transitions and developing systematic,shared,and personalized disease management strategies are crucial.

关 键 词：糖尿病 1型 质性研究 Meta整合 循证护理学 

分 类 号：R473.5[医药卫生—护理学]