以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (21): 1-6.doi: 10.16460/j.issn1008-9969.2021.21.001

• 研究生园地 •    下一篇

心房颤动患者抗凝治疗体验质性研究的Meta整合

刘沈馨雨1, 孙国珍1,2, 王洁1   

  1. 1.南京医科大学 护理学院,江苏 南京 210029;
    2.南京医科大学第一附属医院 心血管内科,江苏 南京 210029
  • 收稿日期:2021-04-16 出版日期:2021-11-10 发布日期:2021-12-13
  • 通讯作者: 孙国珍（1969-）,女,江苏南通人,硕士,教授。E-mail：gzsun100@126.com
  • 作者简介:刘沈馨雨（1998-）,女,江苏苏州人,本科学历,硕士研究生在读。
  • 基金资助:
    国家自然科学基金资助项目（72074124）; 江苏高校优势学科建设工程项目“护理学”[苏政办发（2018）87号]

Experience of Anticoagulant Therapy in Patients with Atrial Fibrillation: A Meta-synthesis of Qualitative Studies

LIU Shen-xinyu1, SUN Guo-zhen1,2, Wang Jie1   

  1. 1. School of Nursing, Nanjing Medical University, Nanjing 210029, China;
    2. Dept. of Vasculocardiology, the First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China
  • Received:2021-04-16 Online:2021-11-10 Published:2021-12-13

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摘要： 目的 对心房颤动患者抗凝治疗体验的质性研究进行Meta整合,为优化抗凝治疗管理提供理论基础。方法 计算机检索The Cochrane Library、PubMed、EMbase、Web of Science、OVID、CINAHL、中国知网、维普、万方和中国生物医学数据库,从建库至2020年12月检索房颤患者抗凝治疗体验相关的质性研究或包含抗凝治疗体验质性研究的混合性研究。采用“澳大利亚JBI循证卫生保健中心（2016）质性研究质量评价标准”评价纳入文献,运用Meta整合方法对结果进行整合。结果 共纳入16篇研究,提炼出26个完整的研究结果,归纳出8个新的类别,得到4个整合结果。结果1：房颤患者的固有认知、信息短板及医疗资源限制与抗凝决策缺失有着不可分割的联系;结果2：房颤患者治疗态度存在差异,主动接受治疗者积极性更高;结果3：房颤患者需要多元社会支持来对抗治疗中的困扰;结果4：房颤患者在抗凝治疗过程中承受着多重心理负担。结论 房颤患者在抗凝治疗过程中常处于决策缺失状态,其药物偏好易被忽视,治疗态度各异,同时承受着多重心理负担,亟需医院、家庭、社区等多方面的支持。

关键词: 心房颤动, 抗凝治疗, 体验, 质性研究, Meta整合

Abstract: Objective To integrate the experience of anticoagulant therapy in patients with atrial fibrillation (AF) by meta-synthesis and provide theoretical basis for optimizing anticoagulant therapy management. Methods We searched databases including the Cochrane Library, PubMed, EMbase, Web of Science, OVID, CINAHL, CNKI, VIP, WANFANG and CBM to collect relevant qualitative studies and mixed studies from the inception to December 2020. The literature was evaluated by the JBI Critical Appraisal Tool for qualitative studies in Australia (2016). Meta-synthesis was used to integrate results. Results A total of 16 studies were included; 26 complete research results were extracted; 8 new categories were summarized, and 4 integrated results were obtained: 1.inherent cognition, information missing, and medical resource limitations were inseparable from the lack of decision-making about anticoagulation in patients with AF. 2.There were differences in the treatment attitude of patients with AF, and the initiative of patients receiving treatment was higher. 3. Patients with AF needed multiple social support to cope with the problems in treatment. 4. Patients with AF bore multiple psychological burdens in the process of anticoagulation therapy. Conclusion During the process of anticoagulant therapy, patients with AF often lack decision-making. Their drug preferences are easily ignored, and their treatment attitudes vary. Bearing multiple psychological burdens, they are in urgent need of support from hospitals, families, and communities.

Key words: atrial fibrillation, anticoagulant therapy, experience, qualitative research, Meta-synthesis

中图分类号: 

  • R473.54
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