肠造口患者身体意象体验质性研究的Meta整合  

Qualitative studies of body image experience among enterostomy patients:a Meta-synthesis

作　　者：李晓倩 关华[2] 杨丽丽 罗姚 LI Xiaoqian;GUAN Hua;YANG Lili;LUO Yao(School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Health Management Center,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China)

机构地区：[1]成都中医药大学护理学院,成都610075 [2]四川省医学科学院·四川省人民医院健康管理中心,成都610072

出　　处：《数理医药学杂志》2025年第3期192-200,共9页Journal of Mathematical Medicine

基　　金：四川省医疗卫生与健康促进会科研项目(KY2022QN0065)。

摘　　要：目的系统整合肠造口患者身体意象体验的质性研究,为探索肠造口患者综合支持策略和个性化干预方案提供循证依据。方法计算机检索PubMed、Embase、Web of Science、the Cochrane Library、ProQuest、CINAHL(EBSCO)、Scopus、中国知网、万方、维普、中国生物医学文献数据库(CBM)从建库至2024年4月8日收录的关于肠造口患者身体意象体验的质性研究。采用澳大利亚JBI循证卫生保健中心质性研究评价标准进行评价,运用汇集性整合法进行数据整合。结果共纳入17篇文献,提取59个主题,归纳成9个新类别,形成4个整合结果:身体意象改变引起的多维感知、身体意象改变的负性体验、身体意向改变的积极探索与自我调适、渴望支持与自我成长。结论肠造口患者在多个方面存在身体意象障碍问题,医护人员需重视肠造口患者的身体意象情况,联合家庭、社会为患者提供必要的健康教育与支持,提高积极应对水平,促进患者身心康复。Objective To systematically integrate the qualitative studies of body image experience in enterostomy patients,and to provide evidence-based evidence for exploring comprehensive support strategies and individualized intervention programs for enterostomy patients.Methods PubMed,Embase,Web of Science,the Cochrane Library,ProQuest,CINAHL(EBSCO),Scopus,CNKI,WanFang Data,VIP,CBM were searched for qualitative studies on the body image experience of enterostomy patients from the establishment of the databases to April 8,2024.The methodological quality of the included studies was assessed using the Joanna Briggs Institute(JBI)Critical Appraisal Checklist for Qualitative Research.The aggregation integration method was used for data integration.Results A total of 17 articles were included,59 topics were extracted and summarized into 9 new categories,and 4 integrated results were formed:multidimensional perceptions arising from changes in body image, negative experience of body image changes, active exploration and self-adjustment of body image changes, and the desire for support and self-growth. Conclusion Enterostomy patients had body image disorder in many aspects. Medical staff should pay attention to the body image of enterostomy patients, provide necessary health education and support together with family and society, improve the level of positive response, and promote the physical and mental recovery of patients.

关 键 词：肠造口 身体意象 体验 质性研究 Meta整合 循证护理 

分 类 号：R473.73[医药卫生—护理学]