心脏起搏器植入术后患者生活体验与需求质性研究的Meta整合  

Meta-synthesis of qualitative studies of life experiences and needs of patients after cardiac pacemaker implantation

作　　者：杨攀[1] 张克美[2] 张六一 田鑫[1] Yang Pan;Zhang Kemei;Zhang Liuyi;Tian Xin(School of Nursing,Hunan Normal University,Changsha 410013,China;No.2 Department of Ophthalmology,the First People's Hospital of Changde City,Changde 415003,China)

机构地区：[1]湖南师范大学护理学院,长沙410013 [2]常德市第一人民医院眼二科,常德415003

出　　处：《中华现代护理杂志》2025年第6期724-730,共7页Chinese Journal of Modern Nursing

摘　　要：目的系统评价和整合心脏起搏器植入术后患者生活体验及需求的质性研究,为制订针对性的照护方案提供参考。方法计算机检索PubMed、Web of Science、Embase、Cochrane Library、PsycINFO、CINAHL、中国知网、万方数据库、维普网和中国生物医学文献数据库中关于心脏起搏器植入术后患者生活体验及需求的质性研究,检索时限均为建库至2024年3月25日。采用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对文献质量进行评价,采用汇集性Meta整合方法对结果进行整合。结果共纳入8篇文献,提炼出40个主题,归纳形成8个类别,合成3个整合结果,分别为症状困扰影响患者生活质量、逐渐适应起搏器并采取积极应对方式、对外界支持系统的期望。结论心脏起搏器植入术后患者自我意识减弱,对早期运动感到恐惧,医护人员应帮助患者制订积极的应对策略。ObjectiveTo systematically evaluate and synthesize qualitative studies of life experiences and needs of patients after cardiac pacemaker implantation and provide a reference for developing targeted care plans.MethodsA search of qualitative studies of life experiences and needs of patients after cardiac pacemaker implantation were conducted in PubMed,Web of Science,Embase,Cochrane Library,PsycINFO,CINAHL,China National Knowledge Infrastructure,Wanfang Data,VIP and China Biology Medicine disc,from the time of the database construction to March 25,2024.The quality of the studies were assessed using the criteria for evaluating the qualitative research quality of the Australia Joanna Briggs Institute Evidence-Based Health Care Centre,and the findings were synthesized using Meta-synthesis methods.ResultsEight studies were included,resulting in 40 themes,which were grouped into eight categories and synthesized into three main findings:symptom distress affected patients'quality of life,patients gradually adopted to pacemakers and adopted positive coping strategies,and patients expressed expectations for external support systems.ConclusionsPatients after cardiac pacemaker implantation experience diminished self-awareness and fear of early physical activity.Healthcare providers should assist patients in developing positive coping strategies.

关 键 词：心脏起搏器 生活体验 需求 质性研究 Meta整合 

分 类 号：R54[医药卫生—心血管疾病]