心脏外科术后患者正性心理体验的Meta整合  

Positive psychological experiences in cardiac surgery patients post-operation:a Meta-synthesis

作　　者：修萌 王晨威 杨飞 张美洁 张伟英[3] Xiu Meng;Wang Chenwei;Yang Fei;Zhang Meijie;Zhang Weiying(School of Medicine,Tongji University,Shanghai 200092,China;School of Nursing,Soochow University,Suzhou 215021,China;Department of Nursing,East Hospital Affiliated to Tongji University,Shanghai 200120,China)

机构地区：[1]同济大学医学院,上海200092 [2]苏州大学护理学院,苏州215021 [3]同济大学附属东方医院护理部,上海200120

出　　处：《中华现代护理杂志》2025年第9期1163-1170,共8页Chinese Journal of Modern Nursing

基　　金：同济大学医学院学科建设三年行动计划重点学科项目(JS2210103);上海市浦东新区卫生系统重要薄弱学科建设项目(PWZbr2022-04);上海市浦东新区卫生系统领先人才培养计划(PWR12020-10)。

摘　　要：目的对心脏外科术后患者正性心理体验的质性研究进行Meta整合,分析与评价心脏外科术后患者的正性心理体验。方法系统检索PubMed、Web of Science、CINAHL、Embase、ProQuest、中国知网、万方数据库、维普网、中国生物医学文献数据库等,检索时限为建库至2024年3月10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(2016版)对纳入文献进行质量评价,采用汇集性整合方法整合结果。结果共纳入13篇文献,1篇文献质量评价为A级,12篇文献质量评价为B级,提炼出46个研究结果,归纳形成10个新类别,得到3个整合结果,分别为自我意识的觉醒、健康行为的改变、社会支持的感知。结论心脏外科术后患者存在正性心理,医务人员应能够识别并了解其支持因素,正确引导并维持心脏外科术后患者的正性心理状态,帮助患者积极康复。ObjectiveTo perform a Meta-synthesis of qualitative studies on the positive psychological experiences of cardiac surgery patients post-operation,and to analyze and evaluate these experiences.MethodsA systematic search was conducted in PubMed,Web of Science,CINAHL,Embase,ProQuest,China National Knowledge Infrastructure,Wanfang Data,VIP,and China Biology Medicine disc,with the search period from the establishment of the database to March 10,2024.The quality of the included literature was assessed using the Australia Joanna Briggs Institute for Evidence-Based Healthcare Centre Database Quality Assessment Criteria for Qualitative Research(2016).Results were integrated using the Meta synthesis method.ResultsA total of 13 studies were included,of which one study was rated as Grade A and 12 as Grade B.46 research outcomes were identified,which were summarized into 10 new categories and integrated into three main results:awakening of self-awareness,changes in health behaviors,and perceived social support.ConclusionsCardiac surgery patients post-operation exhibit positive psychology.Medical staff should be able to identify and understand the supporting factors for these psychological states,correctly guide and maintain the positive psychological state of patients,and help facilitate active recovery.

关 键 词：外科手术 心脏外科 积极心理学 正性心理 质性研究 Meta整合 

分 类 号：R47[医药卫生—护理学]