经体外受精-胚胎移植助孕失败病人真实体验的Meta整合  

The real experience of patients with failed in vitro fertilization-embryo transfer assisted conception:a qualitative Meta-synthesis

作　　者：赵颖康 王华伟[1] 罗文 贾璐 苏真芳[1] ZHAO Yingkang;WANG Huawei;LUO Wen;JIA Lu;SU Zhenfang(The First Affiliated Hospital of Kunming Medical University,Yunnan 650032 China;School of Nursing,Kunming Medical University)

机构地区：[1]昆明医科大学第一附属医院,云南650032 [2]昆明医科大学护理学院

出　　处：《循证护理》2025年第4期589-596,共8页Chinese Evidence-Based Nursing

基　　金：云南省科技厅科技计划项目,编号:202301AY070001-087。

摘　　要：目的:系统评价和整合体外受精-胚胎移植助孕失败病人的真实体验,为制订针对性干预策略提供参考依据。方法:计算机检索PubMed、Web of Science、EMbase、the Cochrane Library、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中关于体外受精-胚胎移植失败病人真实体验的质性研究,检索时限从建库至2024年3月29日,由2名研究者独立进行文献筛选和资料提取,并采用澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心质性研究质量评价标准对纳入研究进行质量评价,最后采用汇集性整合方法对纳入文献结果进行分析整合。结果:共纳入13篇文献,提炼出41个研究结果,归纳成9个类别,最终形成4个整合结果,即体外受精-胚胎移植失败对病人心理造成消极影响、体外受精-胚胎移植失败病人生活中的改变与压力、体外受精-胚胎移植失败病人创伤后成长、体外受精-胚胎移植失败病人未满足需求。结论:医护人员应早期识别体外受精-胚胎移植失败病人的负性心理体验,努力挖掘病人的积极体验,重视病人的真实体验和需求,实施针对性措施,帮助病人找到自我价值。Objective:To systematically evaluate and integrate the real experiences of patients with in vitro fertilization-embryo transfer(IVF-ET)pregnancy assistance failure,and to provide a reference basis for the development of targeted intervention strategies.Methods:Computer searches were conducted on PubMed,Web of Science,EMbase,the Cochrane Library,CNKI,WanFang Database,VIP,and CBM on IVF-ET failure in patients with qualitativestudies on real-life experiences,with a search timeframe from database construction to March 29,2024,and two researchers independently conducted literature screening and data extraction,and quality assessment of the included studies using the quality assessment criteria for qualitative research of the Centre for Evidence-Based Health Care of the Joanna Briggs Institute(JBI),Australia,and finally analysed and integrated the results of the included literature using a pooled integration approach.Results:A total of 13 articles were included,and 41 findings were distilled into 9 categories,resulting in 4 integrated findings:IVF-ET failure negatively affects patients psychologically,changes and stresses in the lives of patients with IVF-ET failure,post-traumatic growth in patients with IVF-ET failure,and the presence of unmet needs in patients with IVF-ET failure.Conclusion:Healthcare professionals should identify the negative psychological experiences of patients with IVF-ET failure at an early stage,endeavour to explore the positive experiences of the patients,pay attention to the real experiences and needs of the patients,and implement targeted measures to help the patients find their self-worth.

关 键 词：体外受精-胚胎移植 助孕失败 真实体验 质性研究 Meta整合 循证护理 

分 类 号：R71[医药卫生—妇产科学]