摘要
目的通过对卒中居家患者跌倒体验及应对方式进行Meta整合,依据整合结果总结现存问题并提出建议。方法计算机检索PubMed、Medline、Embase、Web of Science等数据库,搜集有关卒中患者居家跌倒体验的质性研究。检索时限均为从建库至2023年1月。采用“澳大利亚JBI循证卫生保健中心(2008)质性研究质量评价标准”评价,利用汇集性整合方法对结果进行整合。结果共纳入文献6篇,提炼出18个明确的研究结果,将相似结果归纳组合形成6个新的类别,并综合成3个主要主题。整合结果显示:卒中患者发生跌倒后心理问题严重、应对方式不佳以及预防跌倒需求未被满足,导致其社会参与和运动减少。结论需完善跌倒评估内容、针对评估结果进行相应的预防跌倒健康教育,帮助卒中居家患者及照顾者建立正确的应对方式,从而避免跌倒的发生。
Objective To integrate the falling experience and coping styles of stroke home patients with falls through Meta synthesis,summarize existing problems based on the integration results,and propose suggestions.Methods We searched databases including PubMed,Medline,Embase,Web of Science,etc.,from database establishment to January 2023,to collect qualitative studies on stroke patients’falling experience at home.The quality of included studies was evaluated by“JBI Australian Evidence-based Health Care Centre(2008)Qualitative Research Quality Assessment Criteria”.The results were integrated by integrating methods.Results A total of 6 references were included,and 18 clear research results were extracted.Similar results were summarized and combined to form 6 new categories,and integrated into 3 main themes.The integration results showed that stroke patients with falls had severe psychological problems,poor coping styles,and unmet needs for fall prevention,resulting in reduced social participation and exercise.Conclusions It is necessary to improve the content of fall assessment and provide corresponding fall prevention health education based on the assessment results.It helps stroke patients and caregivers at home to establish correct coping strategies,thereby avoiding the occurrence of falls.
作者
胡琳雪
李思琴
吴晓妍
邓志强
杨蓉
HU Linxue;LI Siqin;WU Xiaoyan;DENG Zhiqiang;YANG Rong(West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Division of Liver Surgery,Department of General Surgery,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Pulmonary and Critical Care Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Neurology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)
出处
《华西医学》
CAS
2023年第5期710-717,共8页
West China Medical Journal
基金
四川大学华西护理学科发展专项基金项目(HXHL20004)。
关键词
卒中
居家患者
跌倒体验
心理障碍
应对方式
Meta整合
Stroke
home patient
falling experience
psychological disorder
coping style
Meta synthesis
