医护人员参与预立医疗照护计划沟通体验的Meta整合  

Healthcare professionals′ experiences of participating in advance care planning communication:a qualitative meta-synthesis

作　　者：谭夙辉 张慧琳[2] 陈太春 张晓可 Tan Suhui;Zhang Huilin;Chen Taichun;Zhang Xiaoke(School of Nursing,Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学护理学院,湖南长沙410208 [2]中南大学湘雅二医院临床护理教研室

出　　处：《护理学杂志》2025年第3期97-102,共6页Journal of Nursing Science

基　　金：湖南省自然科学基金面上项目(2024JJ5484)。

摘　　要：目的 对医护人员参与预立医疗照护计划沟通体验进行系统评价,为促进预立医疗照护计划医患沟通提供参考。方法 计算机检索国内外数据库中涉及医护人员参与预立医疗照护计划沟通体验的相关文献,检索时限为建库至2024年3月。采用JBI循证卫生保健中心质性研究质量评价清单对文献进行质量评价,运用汇集性Meta整合方法对结果进行整合。结果 共纳入10篇文献,提取52个研究结果,归纳成18个类别,汇总成4个结果(合适时机、促进因素、阻碍因素、角色参与)。结论 医护人员参与预立医疗照护计划沟通受多种因素影响,医护人员需考虑患者准备度情况,选择合适时机沟通,采取主动行动,促进预立医疗照护计划的开展。Objective To systematically evaluate the communication experiences of healthcare professionals involved in Advance Care Planning(ACP),so as to provide a reference for promoting doctor-patient communication in ACP.Methods A computer-assisted search was conducted in domestic and international databases for literature related to the communication experiences of healthcare professionals in ACP,with the search period from the database inception to March 2024.The JBI critical appraisal checklist for qualitative research was used to evaluate the quality of the literature,and the integrative meta-synthesis method was applied to integrate the results.Results A total of 10 articles were included,52 research results were extracted,18 categories were summarized,which were synthesized into 4 outcomes:appropriate timing,facilitators,barriers,and role participation.Conclusion The communication of healthcare professionals in ACP is influenced by various factors.Healthcare professionals should consider the readiness of patients,choose the right timing for communication,take active actions,thus to promote the implementation of ACP.

关 键 词：医护人员 预立医疗照护计划 生前预嘱 预先指示 沟通 质性研究 Meta整合 循证护理 

分 类 号：R47[医药卫生—护理学] R48[医药卫生—临床医学]