注意缺陷多动障碍患儿照护者真实体验及需求的Meta整合  

Meta-integration of the real experiences and needs of caregivers of children with attention deficit hyperactivity disorder

作　　者：刘霞珍 李宏 唐陶然 朱雅琦 朱诗林 Liu Xiazhen;Li Hong;Tang Taoran;Zhu Yaqi;Zhu Shilin(School of Nursing,Hunan University of Traditional Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学护理学院,长沙410208

出　　处：《中国实用护理杂志》2025年第8期585-592,共8页Chinese Journal of Practical Nursing

基　　金：湖南省自然科学基金医卫行业联合基金项目(2024JJ9453)。

摘　　要：目的系统评价注意缺陷多动障碍(ADHD)患儿照护者的真实体验及需求,为制订个性化支持策略提供参考。方法检索Web of Science、PubMed、Scopus、Embase、PsycINFO、Cinahl、Cochrane Library、中国知网、维普数据库、万方数据库、中国生物医学文献数据库中关于ADHD患儿照护者真实体验及需求的质性研究。检索时限为建库至2024年7月31日,根据JBI循证卫生保健中心质性研究质量评价标准对纳入文献进行质量评价,并采用Meta整合方法进行结果整合。结果果最终纳入15篇文献,提炼出64个主题,归纳成10个类别,形成3个整合结果:照护经历使照护者多方面受到影响;照护者在疾病应对中面临多重挑战;在多方支持下积极调试并获益成长。结论医护人员应提高对ADHD患儿照护者的重视度与支持度,制订专业化的指导策略以减轻照护负担,同时还应强化其正性情感,协助积极应对。Objectivee A systematic evaluation of the real experiences and needs of carers of children with attention deficit hyperactivity disorder(ADHD),provide a reference point for developing individualized support strategies.Methods Computerized searches were conducted for qualitative studies on the experience of caregivers of children with ADHD in Web of Science,PubMed,Scopus,Embase,PsycINFO,Cinahl,Cochrane Library,China Knowledge Network(CKN),Wipro database,Wanfang database,and China Biomedical Literature Database(CBM).The search timeframe was from the construction of the database to July 2024,and the quality of the included literature was evaluated according to the JBI Center for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research,and the results were integrated using Meta-integration methods.Results The final inclusion of 15 papers distilled 64 themes into 10 categories,resulting in 3 integrative outcomes:caregiving experiences affect carers in many ways;carers face multiple challenges in coping with illness;positively commissioned and benefited from growth with multiple sources of support.Conclusions Healthcare professionals should increase the importance and support of carers of children with ADHD,develop specialised guidance strategies to reduce the burden of care,and reinforce positive emotions to assist with positive coping.

关 键 词：注意力缺陷障碍伴多动 儿童 照护者 优体验 常需求 Meta整合 

分 类 号：R47[医药卫生—护理学]