老年慢病共病患者治疗与照护体验质性研究的Meta整合  

Treatment and care experiences of elderly patients with comorbid chronic diseases:a Meta-synthesis of qualitative research

作　　者：朱敏 韩雅婷 焦敏 武仪冉 陶秀彬[2] Zhu Min;Han Yating;Jiao Min;Wu Yiran;Tao Xiubin(Graduate School,Wannan Medical College,Wuhu 241000,China;Department of Nursing,Yijishan Hospital,Wannan Medical College,Wuhu 241000,China)

机构地区：[1]皖南医学院研究生学院,芜湖241000 [2]皖南医学院弋矶山医院护理部,芜湖241000

出　　处：《中华现代护理杂志》2025年第9期1133-1141,共9页Chinese Journal of Modern Nursing

基　　金：芜湖市“华佗计划”卫生高层次人才项目(HTFCPT202304)。

摘　　要：目的系统评价老年慢病共病患者的治疗与护理体验,为满足患者医疗护理需求、改善治疗护理体验提供参考。方法计算机检索Cochrane Library、PubMed、Embase、Scopus、CINAHL、Medline、中国知网、万方数据库和维普网中关于老年慢病共病患者治疗与照护体验的质性研究,检索时限为2019年1月-2024年1月。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心制订的质性研究质量评价标准进行文献质量评价,采用汇集性整合的方法对结果进行分析。结果共纳入17篇文献,提炼出42个结果,归纳为10个类别,整合为4个结果:患者对慢性共病治疗及护理过程的认知水平不一(部分患者对目前的疾病状况缺乏认识、慢病共病患者能清晰地认识目前的疾病状况);不同共病模式患者治疗和照护体验(癌症共病患者治疗和照护体验、心血管代谢模式患者治疗和照护体验、呼吸系统模式患者的治疗和照护体验、精神感觉模式患者的治疗和照护体验、内脏关节炎模式患者的治疗和照护体验);慢病共患者的负性心理情绪(癌症共病患者特殊心理、慢病共病患者情感脆弱,易产生复杂情绪);慢病共病患者的迫切需求(不同共病模式患者的差异性需求)。结论老年慢病共病患者治疗与照护体验存在差异,需要多方位的支持。护理人员应为不同慢病共病患者提供个性化护理,帮助患者控制病情、优化共病管理、提高生活质量。ObjectiveTo systematically review the treatment and care experiences of elderly patients with comorbid chronic diseases,providing insights to meet patient healthcare needs and improve their treatment and care experiences.MethodsA computer-based search was conducted in the Cochrane Library,PubMed,Embase,Scopus,CINAHL,Medline,China National Knowledge Infrastructure,Wanfang Data,and VIP for qualitative studies on the treatment and care experiences of elderly patients with comorbid chronic diseases published from January 2019 to January 2024.The quality of the included studies was evaluated using the qualitative research quality assessment criteria developed by the Joanna Briggs Institute of Evidence-Based Health Care in Australia.A cumulative integration method was used to synthesize the results.ResultsA total of 17 studies were included,extracting 42 results,which were categorized into 10 themes and integrated into four main findings:patients'varying levels of understanding about chronic comorbid conditions(some patients lack awareness of their current health condition,while others have a clear understanding of their disease status);treatment and care experiences across different comorbidity patterns(treatment and care experiences of cancer comorbidity patients,cardiovascular-metabolic comorbidity patients,respiratory system comorbidity patients,sensory-mental comorbidity patients,and visceral arthritis comorbidity patients);negative psychological emotions in patients with chronic comorbidity(special psychological experiences in cancer comorbid patients,emotional vulnerability in comorbid chronic disease patients leading to complex emotions);urgent needs of comorbid chronic disease patients(differing needs based on comorbidity patterns).ConclusionsThere are differences in the treatment and care experiences of elderly patients with chronic comorbidities,and they require multi-faceted support.Healthcare providers should offer personalized care to patients with different comorbid conditions to help them control their

关 键 词：老年人 慢性病 共病 体验 质性研究 Meta整合 

分 类 号：R47[医药卫生—护理学]