以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (4): 34-39.doi: 10.16460/j.issn1008-9969.2022.04.034

• 循证护理 • 上一篇    下一篇

护士对患者死亡认知与体验质性研究的Meta整合

李丹1, 冯兰棱2, 樊落1,3a, 李琳3b, 朱伟1, 郝雅茹1   

  1. 1.兰州大学 护理学院,甘肃 兰州 730000;
    2.成都市第四人民医院 老年精神科,四川 成都 610000;
    3.甘肃省人民医院 a.急诊科;b.重症医学一科,甘肃 兰州 730000
  • 收稿日期:2021-07-16 出版日期:2022-02-25 发布日期:2022-03-04
  • 通讯作者: 樊落（1974-）,女,陕西三原人,博士,主任护师。E-mail:fanluo88@hotmail.com
  • 作者简介:李丹（1994-）,女,甘肃白银人,本科学历,硕士研究生在读,护师。

Nurses' Cognition and Experience of Patients' Death: A Meta-synthesis

LI Dan1, FENG Lan-ling2, FAN Luo1,3a, LI Lin3b, ZHU Wei1, HAO Ya-ru1   

  1. 1. School of Nursing, Lanzhou University, Lanzhou 730000, China;
    2. Dept. of Geriatric Psychiatry, The 4th People's Hospital of Chengdu, Chengdu 610000, China;
    3a. Dept. of Emergency; 3b. Intensive Care Unit, Gansu Provincial People's Hospital, Lanzhou 730000, China
  • Received:2021-07-16 Online:2022-02-25 Published:2022-03-04

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摘要： 目的 系统评价和整合护士对患者死亡认知与体验的质性研究。方法 计算机检索CNKI、万方、维普、CBM、PubMed、Embase、The Cochrane Library、Web of Science,收集关于护士对患者死亡认知、态度、感受和体验的质性研究,检索时限均为建库至2020年4月。采用澳大利亚JBI循证卫生保健中心（2017）质性研究质量评价标准进行评价,采用汇集性整合方法对结果进行整合。结果 共纳入14篇文献,提炼出115个研究结果,归纳相似研究结果形成8个新类别,得出4个整合结果,分别是：护士对患者死亡的感知;多种负性情绪应对策略;死亡经历对护士的影响;患者死亡时感知到的挑战和需求。结论 医疗护理管理者应重视护士对患者死亡的认知与体验,建立相关的支持教育系统提升其死亡应对能力,增强临终照护质量。

关键词: 护士, 死亡, 质性研究, Meta整合

Abstract: Objective To To systematically evaluate and integrate qualitative studies on nurses' cognition and experience of patients' death. Methods The databases including CNKI, WanFang Data, VIP, CBM, PubMed, Embase, The Cochrane Library and Web of Science were searched from the inception to April 2020 to collect related qualitative studies about nurses' cognition, feeling and experience of and attitude toward patients' death. The JBI Critical Appraisal Tool for qualitative studies (2017 edition) was used to evaluate the quality of studies, and the results were integrated by using meta-synthesis. Results Fourteen studies were collected; 115 findings were summarized into 8 new categories, and 4 synthesized results were obtained: nurses' perception of patients' death;multiple coping strategies for negative emotions; the impact of death experience on nurses and perceived challenges and needs at the time of death. Conclusion More attention should be paid to nurses' cognition and experience of patients' death, establish support and education systems to improve nurses' ability to coping death, and enhance the quality of end-of-life care.

Key words: nurse, death, qualitative research, Meta-synthesis

中图分类号: 

  • R47
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