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护理学报 ›› 2021, Vol. 28 ›› Issue (18): 28-34.doi: 10.16460/j.issn1008-9969.2021.18.028

• 循证护理 • 上一篇    下一篇

子女照护临终患者体验的Meta整合

张晓天1, 邱雨1, 岳鹏1, 蔺建宇2   

  1. 1.首都医科大学 护理学院,北京 100069;
    2.首都医科大学附属北京朝阳医院 综合科,北京 100020
  • 收稿日期:2021-04-12 出版日期:2021-09-25 发布日期:2021-10-12
  • 通讯作者: 岳鹏（1980-）,女,北京人,博士,副教授,学系主任。E-mail:pkuyuepeng@ccmu.edu.cn
  • 作者简介:张晓天（1998-）,女,北京人,本科学历,硕士研究生在读。
  • 基金资助:
    教育部人文社会科学研究青年基金项目（19YJC840059）

Experience of Adult Children in Caring for Dying Patients：A Meta-synthesis of Qualitative Studies

ZHANG Xiao-tian1, QIU Yu1, YUE Peng1, LIN Jian-yu2   

  1. 1. School of Nursing, Capital Medical University, Beijing 100069, China;
    2. Department of General Affair, Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China
  • Received:2021-04-12 Online:2021-09-25 Published:2021-10-12

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摘要： 目的 系统总结临终患者子女照顾者真实体验的质性研究,为更好地了解他们的需求、困境、体验与收获,构建基于子女体验的支持方案提供可靠依据。方法 计算机检索中英文数据库：PubMed、The Cochrane Library、Web of Science、EMbase、万方数据库、维普、中国知网与中国生物医学文献数据库,搜集有关临终患者子女照顾者体验的质性研究,检索时限为建库至2021年2月。采用2017年澳大利亚JBI循证卫生保健中心质性研究文献质量评价工具评价文献质量,使用Nvivo 11软件通过汇集性整合的方法进行结果整合。结果 共纳入14项研究,提炼出55个研究结果,将相似的研究结果归纳形成7个新类别,得出3个整合结果。整合结果1：子女照顾者对死亡的态度;整合结果2：子女照顾临终患者时的动机、行为、感受和改变;整合结果3：子女照顾临终患者时产生的困境和需求。结论 子女在照顾临终患者时有复杂的体验。医务人员应及时关注这些体验以及他们的特殊困境,为子女照顾者提供死亡教育和人文护理,促进子女照顾者间的经验交流,并提升他们的照顾能力。

关键词: 临终, 子女, 体验, 质性研究, Meta整合

Abstract: Objective To systematically summarize the qualitative research on real experience of adult children as caregivers of dying patients, to better understand their needs, difficulties, experience and gains, and to provide reliable basis for the construction of support scheme based on adult children's experience. Methods Four Chinese relevant databases(Wanfang database, VIP, CNKI and CBM) and four English databases (PubMed, The Cochrane Library, Web of Science and EMbase) were searched for qualitative research on the experience of adult children caregivers of dying patient from the inception to February 2021. The quality of studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia, and Nvivo 11 software was used to integrate the results through a collective integration method. Results A total of 55 findings were extracted from 14 qualified studies. The 55 findings were consequently integrated into 7 categories and finally 3 synthesized results were summarized as follows: children caregiver's attitude towards death; children's motivation, behavior, experience and changes when caring for dying patients; children's dilemma and needs when caring for dying patients. Conclusion Adult children have complicated experience in caring for the dying patients. Medical staff should pay attention to the experience and their special difficulties in time, provide death education and humanistic care for adult children caregivers, so as to promote experience sharing and care ability.

Key words: end of life, adult children, experience, qualitative research, Meta-synthesis

中图分类号: 

  • R473
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