以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (2): 31-36.doi: 10.16460/j.issn1008-9969.2021.02.031

• 循证护理 • 上一篇    下一篇

慢性心力衰竭患者自我管理体验质性研究的Meta整合

王惠1, 仝旭1, 李玲2   

  1. 1.浙江中医药大学 护理学院,浙江 杭州 310053;
    2.浙江树人大学树兰国际医学院 护理教研室,浙江 杭州 310015
  • 收稿日期:2020-09-18 出版日期:2021-01-25 发布日期:2021-03-12
  • 通讯作者: 李玲（1973-）,女,浙江杭州人,博士,副教授,硕士研究生导师,内科教研室主任。E-mail:59788937@qq.com
  • 作者简介:王惠（1988-）,女,山西晋城人,本科学历,硕士研究生在读,主管护师。
  • 基金资助:
    浙江省基础公益研究计划项目（LGF20G030006）; 2019年全国医学专业学位研究生教育指导委员会研究课题

Self-management of Patients with Chronic Heart Failure: A Qualitative Meta-integration

WANG Hui1, TONG Xu1, LI Ling2   

  1. 1. School of Nursing, Zhejiang Chinese Medical University, Hangzhou 310053, China;
    2. Nursing Teaching and Research Office, Shulan International Medical College, Zhejiang Shuren University, Hangzhou 310015, China
  • Received:2020-09-18 Online:2021-01-25 Published:2021-03-12

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摘要： 目的 系统总结慢性心力衰竭患者的自我管理体验,全面了解其自我管理行为,为制定自我管理措施提供依据。方法 检索The Cochrane Library、JBI、CINAHL、PubMed、Web of Science、Science Direct、EBSCO、中国生物医学文献数据库、中国知网、万方、维普数据库从建库至2019年11月10日收录的关于慢性心力衰竭患者自我管理体验的质性研究。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准评价文献质量,采用Meta整合的方法进行整合。结果 共纳入19项研究,提炼出74个研究结果,归纳形成7个新类别,综合得到3个整合结果。整合结果1：发展疾病相关健康行为,包括感知症状、建立健康行为2个类别;整合结果2：寻求与领悟支持,包括希冀外界支持、渴求疾病管理知识2个类别;整合结果3：积极应对,包括积极应对疾病、适应角色变化、领悟生命意义3个类别。结论 慢性心力衰竭患者意识到自我管理的重要性,在不断总结经验、调整自身行为的过程中发展疾病管理技能,逐步适应患病后生活,积极地建构新的生命意义。

关键词: 慢性心力衰竭, 自我管理, 质性研究, Meta整合

Abstract: Objective To systematically review the self-management experience of patients with chronic heart failure(CHF),to comprehensively understand patients' self-management behaviors and provide reference for formulating self-management measures. Methods We searched databases including The Cochrane Library, JBI, CINAHL, PubMed, Web of Science, Science Direct, EBSCO, CBM, CNKI, Wanfang, and VIP to collect qualitative studies on management experience of CHF patients from the inception to 10 November,2019.The quality of the literature was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. The results were integrated using a collective integration method. Results A total of 19 studies were included;74 research results were extracted; 7 new categories were summarized, and 3 integrated results were obtained: symptom perception and development of healthy behavior to maintain a good physiological state; facing the disease and seeking social support through multiple channels; adapting to the role change and gaining comfort of the soul in the process of understanding the meaning of life. Conclusion CHF patients gradually realizes the importance of self-management and develop disease management skill in the process of experience summary and behavior adjustment. More encourage and social support are conducive to helping patients to rebuild their life goals, pursue the meaning of life, and ultimately improve the quality of life.

Key words: chronic heart failure, self-management, qualitative research, Meta-integration

中图分类号: 

  • R473.54
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