慢性阻塞性肺疾病患者参与肺康复体验质性研究的Meta整合

doi:10.3761/j.issn.1672-9234.2022.06.014

摘要/Abstract

摘要：

目的系统评价慢性阻塞性肺疾病患者参与肺康复的体验,为今后完善肺康复干预方案提供参考。方法检索建库至2021年6月期间Cochrane Library、PubMed、PsycINFO、EBSCO、Web of Science、中国知网、万方、维普和中国生物医学文献数据库中关于慢性阻塞性肺疾病患者参与肺康复体验的质性研究,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进行文献评价和汇集整合法进行Meta整合。结果共纳入文献12篇,包括214例患者,提炼27个研究结果,归纳形成为5个新类别,得出2个整合结果：病情进展、社会支持和康复环境影响患者参与肺康复主动性（患者遭受身心痛苦,肺康复意识薄弱;社会支持增强患者肺康复自信心;康复环境局限）,患者获益感增强,期待康复方案的优化与完善（参与肺康复后获益感增强;对肺康复期待）。结论医务人员需重视慢性阻塞性肺疾病患者参与肺康复的体验,以患者需求为导向,构建新型肺康复形式,增强肺康复在我国慢性阻塞性肺疾病患者中的应用。

关键词: 肺疾病,慢性阻塞性, 康复护理, 生活经历, Meta整合

Abstract:

Objective To comprehensively review the experience of patients with chronic obstructive pulmonary disease participating in the pulmonary rehabilitation. Methods A comprehensive search was conducted in the Cochrane Library,PsycINFO,PubMed,EBSCO,Web of Science,CNKI,Wanfang,VIP,and the SinoMed from their inception to June,2021. The papers focused on the experience of patients with chronic obstructive pulmonary disease participating in the pulmonary rehabilitation. Australian JBI Evidence-based Health Care Center Qualitative Research Quality Evaluation Standard was used to evaluate the quality of literatures. Meta-synthesis was used to analyze the results. Results A total of 12 articles were included,including 214 participants. Twenty-seven results were extracted and grouped into 5 new categories. Two integrated results were obtained. ①Disease progression,social support,and rehabilitation environment influence patients’ participation in pulmonary rehabilitation（patients suffer from physical and mental pain,and their awareness of pulmonary rehabilitation is weak;social support enhances patients’ self-confidence in pulmonary rehabilitation;the rehabilitation environment is limited）. ②Par-ticipation in pulmonary rehabilitation can enhance the patient’s sense of benefit and look forward to the optimization and perfection of the rehabilitation program（the sense of benefit will be enhanced after participating in pulmonary rehabilitation;expectation of pulmonary rehabilitation）. Conclusion Medical staff should pay attention to patients’ experience of participation in pulmonary rehabilitation,and build a new form of pulmonary rehabilitation based on the needs of patients. Besides,it is necessary to enhance the application of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease in China.

Key words: Pulmonary Disease,Chronic Obstructive, Rehabilitation Nursing, Life Experiences, Meta-synthesis

曲瑞杰, 李豪, 程秋泓, 席芳, 王靓, 王海播. 慢性阻塞性肺疾病患者参与肺康复体验质性研究的Meta整合[J]. 中华护理教育, 2022, 19(6): 548-554.

QU Rui-jie, LI Hao, CHENG Qiu-hong, XI Fang, WANG Liang, WANG Hai-bo. Experience of participating in the pulmonary rehabilitation in patients with chronic obstructive pulmonary disease：a qualitative meta-synthesis[J]. Chinese Journal of Nursing Education, 2022, 19(6): 548-554.

图/表 2

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