减重代谢术后患者饮食管理体验的Meta整合  

Dietary management experiences in post-bariatric surgery patients:a Meta-synthesis

作　　者：赖慧香 张雯 高丽莲[2] 林清然[1] Lai Huixiang;Zhang Wen;Gao Lilian;Lin Qingran(School of Nursing,Jinan University,Guangzhou 510632,China;Department of Metabolic and Bariatric Surgery,the First Affiliated Hospital of Jinan University,Guangzhou 510630,China)

机构地区：[1]暨南大学护理学院,广州510632 [2]暨南大学附属第一医院减重中心,广州510630

出　　处：《中华现代护理杂志》2025年第11期1409-1416,共8页Chinese Journal of Modern Nursing

摘　　要：目的系统整合减重代谢术后患者饮食管理真实体验的质性研究。方法检索中国知网、万方数据库、维普网、中国生物医学文献数据库、Web of Science、PubMed、Cochrane Library、Scopus、Embase数据库中关于减重代谢术后饮食管理体验的质性研究,检索时限均为建库至2024年5月31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推荐的质性研究质量评价标准评价文献,采用汇集性Meta整合方法对文献结果进行整合。结果共纳入18篇文献,提炼出69个核心结果,形成9个类别,汇总成饮食管理认知现状、饮食管理对患者的影响、饮食管理策略、饮食管理随访的负性体验4个整合结果。结论医护人员应加强对减重代谢术后患者饮食管理知识的普及与教育,优化饮食管理策略,引入正向反馈机制,并构建多元社会支持体系,增强患者参与饮食管理的积极性,促进术后全面康复。Objective To systematically integrate qualitative research on the real-life experiences of dietary management in post-bariatric surgery patients.Methods A comprehensive search was conducted in China National Knowledge Infrastructure,Wanfang data,VIP,China Biology Medicine disc,Web of Science,PubMed,Cochrane Library,Scopus,and Embase for qualitative studies on dietary management experiences after bariatric surgery.The search covered all available literature up to May 31,2024.The Joanna Briggs Institute critical appraisal tool for qualitative research was used for quality assessment.The aggregative Meta-synthesis method was applied to integrate the results.Results A total of 18 studies were included,yielding 69 core findings,which were categorized into nine subcategories and further synthesized into four overarching themes:current understanding of dietary management;impact of dietary management on patients;dietary management strategies;negative experiences related to dietary management follow-up.Conclusions Healthcare professionals should enhance education on dietary management for post-bariatric surgery patients,optimize dietary strategies,introduce positive reinforcement mechanisms,and establish a diversified social support system.These efforts can improve patient engagement in dietary self-management and promote comprehensive postoperative recovery.

关 键 词：质性研究 Meta整合 减重代谢手术 饮食管理 真实体验 循证护理 

分 类 号：R473.6[医药卫生—护理学]