摘要
目的系统整合脑卒中患者对复发风险认知的质性研究,为优化脑卒中风险沟通教育和二级预防策略提供依据。方法计算机检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、乔安娜布里格斯研究所(JBI)循证卫生保健中心数据库、中国知网、万方、维普、中国生物医学文献数据库发表的脑卒中患者复发风险认知相关的质性研究,检索时限从建库到2022年9月。采用2020版澳大利亚JBI循证卫生保健中心质性研究质量评价标准进行文献质量评价,采用Meta整合方法对结果进行整合。结果共纳入7篇文献,提炼出37个研究结果,归纳出9个新类别,得到3个整合结果,分别为脑卒中患者复发风险感知特征、准确感知复发风险的阻碍因素、积极或消极应对复发风险的方式。结论临床应开展脑卒中患者复发风险感知水平的早期动态性评估,重视和优化复发风险沟通教育,完善全方位支持机制,促使脑卒中患者参与和坚持积极的风险管理。
Objective To systematically integrate qualitative study on stroke patients'perception of recurrence risk,so as to providing evidence for optimizing stroke risk communication education and secondary prevention strategies.Methods Qualitative studies related to the perception of recurrence risk in stroke patients were searched through computers on PubMed,Web of Science,Embase,CINAHL,Cochrane Library,Joanna Briggs Institute(JBI)Evidence-Based Health Care Centers Database,China National Knowledge Infrastructure,WanFang Data,VIP,and China Biomedical Medicine Database.The search period was from the establishment of the database to September 2022.The articles quality were evaluated using the quality evaluation criteria for qualitative research of the Australian JBI Evidence-Based Health Care Center(2020).The results were integrated by Meta-synthesis.Results A total of 7 articles were included,37 research results were extracted,9 new categories were summarized,and 3 integrated results were obtained,which were respectively the perceived characteristics of recurrence risk in stroke patients,the barriers to accurate perception of recurrence risk,and the ways to actively or negatively address recurrence risk.Conclusions In clinical practice,it is necessary to carry out early dynamic assessment of recurrence risk perception among stroke patients,attach importance to and optimize communication and education on recurrence risk,improve comprehensive support mechanisms,so as to promote stroke patients to participate in and adhere to active risk management.
作者
张玉佳
王宇馨
李琪
刘淼
李菲
崔珊
金奕
Zhang Yujia;Wang Yuxin;Li Qi;Liu Miao;Li Fei;Cui Shan;Jin Yi(Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Graduate School,Tianjin Medical University,Tianjin 300070,China;Quality Control Management Office,Tianjin Huanhu Hospital,Tianjin 300222,China)
出处
《中华现代护理杂志》
2023年第13期1723-1729,共7页
Chinese Journal of Modern Nursing
关键词
卒中
复发风险
风险认知
质性研究
Meta整合
Stroke
Recurrence risk
Risk perception
Qualitative research
Meta-synthesis
