青少年特发性脊柱侧弯患者围手术期真实体验质性研究的Meta整合  

Meta-integration of perioperative real experience qualitative studies in adolescent patients with idiopathic scoliosis

作　　者：陈婉宣 王利敏 方继红[1,2] Chen Wanxuan;Wang Limin;Fang Jihong(School of Nursing,Anhui Medical University,Hefei 230601,China;Department of Nursing,Anhui Provincial Children's Hospital,Hefei 230051,China)

机构地区：[1]安徽医科大学护理学院,合肥230601 [2]安徽省儿童医院护理部,合肥230051

出　　处：《中国实用护理杂志》2025年第13期1007-1014,共8页Chinese Journal of Practical Nursing

基　　金：安徽省社会科学创新发展研究课题(2022KY003);2024年度安徽医科大学护理学院研究生青苗培育项目(hlqm12024024)。

摘　　要：目的系统整合青少年特发性脊柱侧弯患者围手术期的真实体验,为制订患者围手术期护理干预方案提供参考。方法计算机检索中国知网、万方、维普、中国生物医学文献数据库、Cochrane Library、Web of Science、PubMed、CINAHL、PsycINFO、Embase数据库中关于青少年特发性脊柱侧弯患者围手术期真实体验的质性研究及混合性研究,检索时限均为建库至2024年8月。依照澳大利亚乔安娜布里格斯研究所质性研究质量评价标准评价文献质量,并采用汇集性整合方法对所纳人的文献结果进行整合。结果共纳人9项研究,提炼出42个研究结果,形成9个新类别,综合成4个整合结果:对手术结果的不确定性感到恐惧、焦虑与迷;手术后生理状态和认知得到改变;手术后的消极体验影响患者康复进程,患者对身体变化感到不适;面对手术后的不适与康复,患者进行了自我调适与寻求支持,并期待有激励康复的动力来源。结论青少年特发性脊柱侧弯患者围手术期会出现正向和负向的情绪体验,护理团队应关注其心理变化,采取个性化的措施,预防手术并发症的发生,以此提高患者的生命质量,促进患者身心的快速恢复。Objective To systematically integrate the real experience of patients with adolescent idiopathic scoliosis during the perioperative period,so as to provide a reference for the formulation of perioperative nursing intervention programs for patients.Methods Relevant qualitative studies and mixed studies about perioperative real experience of patients with adolescent idiopathic scoliosis were searched in China National Knowledge Infrastructure,Wanfang,VIP,China Biology Medicine,Cochrane Library,Web of Science,PubMed,CINAHL,PsycINFO and Embase databases by computer from the establishment of the database to August 2024.The quality of the literature was evaluated according to the JBI qualitative research quality evaluation standard,and the pooled integration method was used to integrate the results of the included literature.Results A total of 9 studies were included,and 42 research results were extracted.Nine new categories were formed and synthesized into 4 integrated results:fear,anxiety and confusion about the uncertainty of the surgical results;the physiological state and cognition were changed after operation;the negative experience after surgery affects the rehabilitation process of patients,and patients feel uncomfortable with physical changes;in the face of postoperative discomfort and rehabilitation,the patient self-adjusted and sought support,and looked forward to a source of motivation for rehabilitation.Conclusions Patients with adolescent idiopathic scoliosis have positive and negative emotional experiences during the perioperative period.Nursing team should pay attention to their psychological changes and take personalized measures to prevent the occurrence of surgical complications,so as to improve the quality of life of patients.Promote the rapid recovery of the patient's body and mind.

关 键 词：手术 定定性研究 青少年特发性脊柱侧弯 Meta整合 

分 类 号：R473.6[医药卫生—护理学]