以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (18): 42-49.doi: 10.16460/j.issn1008-9969.2020.18.042

• 循证护理 • 上一篇    下一篇

急性冠状动脉综合征患者介入术后真实体验质性研究的系统评价

李亚楠1, 刘姝1, 尤奥林1, 刘萍1, 栾晓嵘1,2   

  1. 1.山东大学 护理学院,山东 济南 250000;
    2.山东大学齐鲁医院,山东 济南 250000
  • 收稿日期:2020-02-11 出版日期:2020-09-25 发布日期:2020-10-16
  • 通讯作者: 栾晓嵘（1969-）,女,山东济南人,博士学历,教授,博士研究生导师。E-mail:luanxrong@163.com
  • 作者简介:李亚楠（1995-）,女,山东青岛人,硕士,护士。
  • 基金资助:
    山东省社会科学规划研究项目（P20190512084734605）

Experience of Patients with Acute Coronary Syndrome after Interventional Therapy: A Systematic Review of Qualitative Studies

LI Ya-nan1, LIU Shu1, YOU Ao-lin1, LIU Ping1, LUAN Xiao-rong1,2   

  1. 1. School of Nursing, Shandong University, Jinan 250000, China;
    2. Qilu Hospital of Shandong University, Jinan 250000, China
  • Received:2020-02-11 Online:2020-09-25 Published:2020-10-16

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摘要： 目的 系统评价急性冠状动脉综合征患者介入术后真实体验的质性研究,为医护人员制定干预措施、促进患者整体健康提供依据。方法 检索The Cochrane Library、PubMed、Web of Science、Embase、Science Direct及CNKI、CBM、VIP、万方数据库从建库至2019年5月16日的质性研究。通过JBI循证卫生保健中心质性研究质量评价标准评价纳入研究的质量,采用Meta整合方法整合结果。结果 共纳入9项研究,提炼39个完整结果,归纳出8个类别,形成4个整合结果：经皮冠状动脉介入术后疾病感受的多样性;患者疾病信息的缺乏;康复期的变化;对社会支持的渴望。结论 急性冠状动脉综合征患者术后在心理、生理及社会功能等方面均受影响,生活方式明显改变,渴望信息及情感支持,医护人员应针对其不良情绪和疾病管理给予指导,帮助其建立积极应对方式,协助家属完善患者社会支持系统,加快患者康复进程。

关键词: 急性冠状动脉综合征, 冠状动脉介入, 质性研究, 系统评价

Abstract: Objective To systematically evaluate the real experience of patients with acute coronary syndrome (ACS) after interventional therapy, to provide basis for medical staff to develop intervention measures and promote the overall health of patients. Methods We collected literatures on the experience of ACS patients after interventional therapy in The Cochrane Library, PubMed, Embase, Science Direct, Web of Science, CBM, CNKI, WANFANG and VIP from the inception to May 16th, 2019. The JBI critical appraisal tool for qualitative studies in Australia was used to evaluate the quality of studies. Meta aggregative approach was used to integrate the results. Results A total of 9 studies were included, in which there were 39 complete research results, 8 categories, and 4 integrated results as followed: psychological feelings after PCI; inadequate information; changes during the rehabilitation and the desire for social support. Conclusion Psychological, physiological and social functions of ACS patients after interventional therapy were affected and obvious changes in the way of life were found so they are eager for information and social support. Medical staff should provide personalized guidance for adverse emotions and disease management, help them establish a positive coping mode, improve the social support system of patients, thus to promote the rehabilitation of the patients.

Key words: acute coronary syndrome, percutaneous coronary intervention, qualitative research, systematic review

中图分类号: 

  • R473.56
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