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护理学报 ›› 2022, Vol. 29 ›› Issue (17): 33-37.doi: 10.16460/j.issn1008-9969.2022.17.033

• 循证护理 • 上一篇    下一篇

植入型心律转复除颤器患者体验的Meta整合

孙亚君1, 王忠祥2, 殷月3, 李佳克3, 王培席1, 张红梅3   

  1. 1. 河南大学 护理与健康学院,河南 开封 475000;
    2. 浙江大学医学院附属第一医院 急诊科,浙江 杭州 310015;
    3. 河南省人民医院 护理部,河南 郑州 450000
  • 收稿日期:2022-05-04 出版日期:2022-09-10 发布日期:2022-10-10
  • 通讯作者: 张红梅（1964-）,女,河南郑州人,本科学历,主任护师,护理部主任。E-mail:z126hm@126.com
  • 作者简介:孙亚君（1996-）,女,河南濮阳人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    2018年度河南省医学科技攻关计划项目（SBGJ2018065）

Experience of Patients with Implantable Cardioverter Defibrillator: A Qualitative Meta-synthesis

SUN Ya-jun1, WANG Zhong-xiang2, YIN Yue3, LI Jia-ke3, WANG Pei-xi1, ZHANG Hong-mei3   

  1. 1.School of Nursing and Health, Henan University, Kaifeng 475000, China;
    2. Dept. of Emergency, the First Affiliated Hospital of Zhejiang University Medical College,Hangzhou 310015, China;
    3. Dept. of Nursing Administration, Henan Provincial People’s Hospital, Zhengzhou 450000, China;
  • Received:2022-05-04 Online:2022-09-10 Published:2022-10-10

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摘要： 目的 系统评价植入型心律转复除颤器患者体验的质性研究。方法 检索中国知网、万方、维普、中国生物医学数据库、PubMed、Embase、The Cochrane Library、CINAHL、PsycINFO、Scopus、Web of Science关于植入型心律转复除颤器患者体验的定性研究,检索时限为建库至2021年12月5日。依据澳大利亚循证卫生保健中心质性研究质量评价标准对文献进行质量评价,采用Meta整合法对纳入文献进行整合。结果 共纳入21项研究,提炼出126个主题,归纳成9个类别,整合出3个主题：设备植入带来的身心变化及生死边缘的放电体验;康复期进行自我调整,接受并适应设备存在;与设备共存中存在诸多挑战,寻求外界支持与帮助。结论 护理人员需关注患者的身心体验,放电后及时给予心理干预,同时重视设备接受程度的个体差异,及时、动态性评估患者照护需求,逐步完善延续性护理服务,提升患者的生存质量。

关键词: 植入型心律转复除颤器, 质性研究, Meta整合, 护理

Abstract: Objective To systematically evaluate qualitative studies on experience of patients with implantable cardioverter defibrillator (ICD). Methods Qualitative studies on the experience of patients with ICD were retrieved from CNKI, Wanfang, VIP, Chinese Biomedical Database, PubMed, Embase, The Cochrane Library, CINAHL, PsycINFO, Scopus and Web of Science with the retrieval time from the inception to December 5, 2021. The quality of the literature was evaluated according to the Australian Evidence-based Health Care Centre 2016 quality research Quality Assessment criteria, and the final results were integrated according to the meta-integration method. Results Twenty-one articles were collected; 126 themes were extracted and classified into 9 categories. Three themes were integrated: psychosocial changes brought by device implantation and shock experience on the edge of life and death; self-adjustment for accepting and adapting to the existence of device during the rehabilitation; multiple co-existed challenges with the device, and seeking external support and help. Conclusion Nurses should pay attention to the psychosocial experience of patients, provide intervention after shocking timely, evaluate individual differences in equipment acceptance, and patients’ care needs and improve continuous care services, so as to improve the quality of life of the patients.

Key words: implantable cardioverter defibrillator, qualitative research, Meta-synthesis, nursing

中图分类号: 

  • R473.54
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