专业照护者参与青少年慢性病患者医疗过渡真实体验质性研究的Meta整合  

Meta-synthesis of the real experience of professional caregivers in the medical transition of adolescents with chronic diseases

作　　者：谢珍妮 刘畅[1] 王莹莹 孙梦昊 史婷奇[1] Xie Zhenni;Liu Chang;Wang Yingying;Sun Menghao;Shi Tingqi(Department of Nursing,Nanjing Drum Tower Hospital,Affiliated Hospital of Medical School,Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院护理部,南京210008

出　　处：《中华现代护理杂志》2025年第12期1612-1618,共7页Chinese Journal of Modern Nursing

基　　金：南京市卫生科技发展专项资金项目(YKK22074);南京大学中国医院改革发展研究院课题项目(NDYG2022067)。

摘　　要：目的系统整合专业照护者参与青少年慢性病患者医疗过渡的真实体验。方法计算机检索Cochrane Library、PubMed、Web of Science、CINAHL、Embase、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于专业照护者参与青少年慢性病患者医疗过渡真实体验的质性研究,检索时限均为建库至2024年9月11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对纳入的文献进行质量评价,采用Meta整合方法对结果进行整合归纳。结果共纳入10篇文献,提炼出42个研究结果,归纳为11个类别,最终形成专业照护者对医疗过渡的态度、阻碍青少年慢性病患者医疗过渡的因素、促进青少年慢性病患者医疗过渡的因素3个整合结果。结论专业照护者对青少年慢性病患者医疗过渡态度复杂,感知多种阻碍过渡的因素,管理者应给予重视,采取针对性干预措施并完善过渡服务流程,从而帮助青少年慢性病患者群体平稳、顺利向成人医疗系统过渡。Objective To systematically integrate the real experience of professional caregivers in the medical transition of adolescents with chronic diseases.Methods Computerized searches were conducted in databases including Cochrane Library,PubMed,Web of Science,CINAHL,Embase,China National Knowledge Infrastructure,Wanfang Data,VIP,and China Biology Medicine disc for qualitative studies on the real experience of professional caregivers involved in the medical transition of adolescents with chronic diseases.The search timeframe was from the inception of the database until September 11,2024.The quality of the included studies was assessed using the criteria for evaluating the qualitative research quality of the Australia Joanna Briggs Institute Evidence-Based Health Care Centre.Meta-synthesis was employed to synthesize the results.Results A total of ten studies were included,yielding 42 research results that were categorized into 1l themes.The final integrated findings were divided into three categories:professional caregivers'attitudes towards medical transition,barriers to medical transition for adolescents with chronic diseases,and factors facilitating medical transition for adolescents with chronic diseases.Conclusions Professional caregivers attitudes towards the medical transition of adolescents with chronic diseases are complex,with a perception of various barriers to the transition.It is essential for healthcare administrators to pay attention to these issues and implement targeted interventions.Furthermore,improving the transition service process will support adolescents in making a smooth and successful transition to the adult healthcare system.

关 键 词：青少年 专业照护者 慢性病 医疗过渡 真实体验 Meta整合 

分 类 号：R473.72[医药卫生—护理学]