全喉切除术患者生活体验质性研究的Meta整合

doi:10.16460/j.issn1008-9969.2023.15.052

摘要/Abstract

摘要： 目的系统整合全喉切除术患者生活体验的质性研究。方法计算机检索PsyclNFO、Scopus、Web of Science、PubMed、CINAHL、Cochrane library、Embase、知网、万方、维普数据库,搜索从建库至2022年9月13日有关全喉切除术后患者内心感受及生活体验的质性研究文献。对提取结果使用汇集性整合方法进行归纳整合。结果共纳入13篇论文,提取45个研究结果,将相似结果归纳总结成7个新的类别,并综合成3个整合结果。整合结果1：全喉切除术患者面临多重转变的身心感受,包括3个类别：躯体功能障碍、负性情绪体验突出、打破家庭社会生活常态。整合结果2：全喉切除术患者的需求,包括2个类别：疾病相关知识的需求、社会支持的需求。整合结果3：全喉切除术患者的调适,包括2个类别：不同策略应对多重转变、适应新常态,重建有意义的生活。结论全喉切除术患者面临生理心理社会等多维度的困难与挑战,需要家庭和医务人员充分了解患者的内心感受、生活体验、需求与调适,帮助其实现生活重建,提高患者生活质量。

关键词: 全喉切除术, 生活体验, 质性研究, Meta整合

Abstract: Objective To systematically synthesize the qualitative studies pertaining to life experience of patients after total laryngectomy. Methods PsyclNFO, Scopus, Web of Science, PubMed, CINAHL, Cochrane Library, Embase, CNKI, Wanfang, VIP database were searched from the inception to 13 September, 2022, to collect the qualitative studies on the inner feelings and life experience of patients after total laryngectomy. Meta-synthesis was used to summarize and integrate the extracted results. Results Thirteen articles were included and forty-five results were extracted, which were summarized into 7 new categories and 3 integrated results: 1. multiple changes in physical and mental feelings, including physical dysfunction, prominent negative emotional experience, and discontinued normality of family and social life; 2.disease-related knowledge needs and social support needs; 3.different strategies to cope with multiple transitions: adaptation to the new norm, and rebuilding of a meaningful life. Conclusion Patients with total laryngectomy face multi-dimensional difficulties and challenges. It is necessary for families and medical staff to fully understand patients’ inner feelings, life experience, needs and adjustment, so as to help them achieve life reconstruction and improve the quality of life.

Key words: total laryngectomy, life experience, qualitative research, Meta-synthesis

中图分类号:

R473.6

张玉敏, 刘于, 汪秧秧, 张惠荣, 周敏. 全喉切除术患者生活体验质性研究的Meta整合[J]. 护理学报, 2023, 30(15): 52-57.

ZHANG Yu-min, LIU Yu, WANG Yang-yang, ZHANG Hui-rong, Zhou Min. Life Experience of patients with total laryngectomy: a Meta-synthesis[J]. Journal of Nursing, 2023, 30(15): 52-57.

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