以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (10): 36-42.doi: 10.16460/j.issn1008-9969.2020.10.036

• 循证护理 • 上一篇    下一篇

患者参与患者安全知信行质性研究的系统评价

詹昱新1a, 杨中善1b, 莫梦燕2, 李素云1a, 喻姣花1a   

  1. 1.华中科技大学同济医学院附属协和医院 a.护理部;b.神经外科,湖北 武汉 430022;
    2.长治医学院附属和平医院 神经外科,山西 长治 046000
  • 收稿日期:2020-01-07 出版日期:2020-05-25 发布日期:2020-07-15
  • 通讯作者: 喻姣花（1966-）,女,湖北黄冈人,硕士,主任护师。
  • 作者简介:詹昱新（1982-）,女,湖北武汉人,本科学历,主管护师。

Qualitative Study on Knowledge-attitude-practice of Patients' Participation in Patients' Safety: A Systematic Review

ZHAN Yu-xin1a, YANG Zhong-shan1b, MO Meng-yan2, LI Su-yun1a, YU Jiao-hua1a   

  1. 1a. Dept. of Nursing Administration; 1b. Dept. of Neurosurgery, Union Hospital, Tongji Medical College,Huazhong University of Science and Technology, Wuhan 430022, China;
    2. Dept. of Neurosurgery,Heping Hospital Affiliated of Changzhi Medical College, Changzhi 046000, China
  • Received:2020-01-07 Online:2020-05-25 Published:2020-07-15

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摘要： 目的 系统评价患者参与患者安全知信行的质性研究,为促进患者参与患者安全管理决策提供依据。方法 计算机检索PubMed、CINAHL、Web of Science、中国知网、万方数据库、维普数据库、中国生物医学文献数据库关于患者参与患者安全知信行的质性研究,检索时限从建库至2019年8月。采用2017版澳大利亚循证卫生保健中心质性研究评价标准（JBI-QARI）进行文献质量评价,采用汇集性整合方法对研究结果进行比较、分析、归纳、诠释和综合。结果 共纳入12项研究,提炼出42个研究结果,综合成为3个整合结果和归纳形成8个新的类别：患者的认知态度、实践的障碍因素和患者的需求期望。结论 医疗机构和医务人员应高度重视患者参与患者安全的组织管理和实践管理,从不同层面全方位地引导患者提高参与认知、增强参与信念及促进参与行动,从而保障患者安全和医疗安全。

关键词: 患者参与患者安全, 知信行, 质性研究, 系统评价

Abstract: Objective To conduct a systematic review of patients' knowledge-attitude-practice in participating in patient safety, and provide basis for promoting patients' participation in patients' safety management. Methods We searched PubMed, CINAHL, Web of Science, CNKI, Wanfang Database, VIP Database and Chinese Biomedical Literature Database for qualitative research on patients' knowledge-attitude-practice in participating in patients' safety. The retrieval time was from the inception of the database to August 2019. After evaluating the quality of literature using the Australian Evidence-based Health Care Center (JBI-QARI, 2017 edition) qualitative research quality evaluation criteria, meta-integration was carried out by using aggregative integration method, and the results were compared, analyzed, summarized, interpreted and synthesized. Results Twelve studies were included, and 42 results were extracted. Eight categories were summarized and integrated into three results including cognitive attitudes towards patients' participation, barriers to patients' participation, and expectations of patients' needs for participation. Conclusion Medical institutions and staffs should attach great importance to the organizational and practical management of patients' participation in patients' safety, and guide patients to improve their participation cognition, belief and action from different perspectives, so as to ensure patients' safety and medical safety.

Key words: patients' participation in patients' safety, knowledge-attitude-practice, qualitative research, systematic review

中图分类号: 

  • R47
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