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糖尿病视网膜病变患者疾病体验质性研究的Meta整合

Meta-synthesis of qualitative studies on disease experience in diabetic retinopathy patients
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摘要 目的系统评价糖尿病视网膜病变患者疾病体验的质性研究。方法计算机检索Web of Science、PubMed、Cochrane Library、Embase、CINAHL、EBSCO、中国知网、万方数据库、中国生物医学文献数据库、维普网等数据库中有关糖尿病视网膜病变患者疾病体验的质性研究,检索时限为建库至2023年7月1日。采用澳大利亚布里格斯研究所循证卫生保健中心的质性研究质量评价标准进行文献质量评价,采用汇集性整合方法对结果进行整合。结果共纳入12篇文献,提炼出47个研究结果,归纳形成11个类别,综合为3个整合结果,即多方面受疾病影响,生活质量低下;不同情感体验患者应对方式截然不同,分为创伤后成长和自暴自弃;缺乏疾病相关知识,渴望得到多方面支持。结论糖尿病视网膜病变患者生理、心理均受到疾病影响,护士应关注早期预防教育,加强疾病知识宣传,帮助应对日常生活中的困难,重视患者心理感受,提供多维度社会支持,改善患者应对策略,提高其生活质量。 Objective To systematically evaluate qualitative studies on disease experience in diabetic retinopathy patients.Methods Qualitative studies on the disease experience of diabetic retinopathy patients were searched by computer from Web of Science,PubMed,Cochrane Library,Embase,CINAHL,EBSCO,China National Knowledge Infrastructure,WanFang Data,China Biology Medicine disc,VIP,and other databases.The search period was from the establishment of the databases to July 1,2023.The qualitative research quality evaluation criteria of the Evidence-based Health Care Center of Briggs Institute in Australia were used to evaluate the literature quality,and the results were integrated by the pooled integration method.Results A total of 12 articles were included,and 47 research results were extracted,which were summarized into 11 categories and integrated into three integrated results,that was,multiple aspects affected by diseases and low quality of life,utterly different coping styles of patients with different emotional experiences including post-traumatic growth and self-abandonment,and a lack of disease-related knowledge and is eager to receive comprehensive support.Conclusions The physiology and psychology of patients with diabetes retinopathy are affected by the disease.Nurses should pay attention to early prevention education,strengthen disease knowledge publicity,help cope with difficulties in daily life,attach importance to patients'psychological feelings,provide multi-dimensional social support,improve patients'coping strategies,and improve their quality of life.
作者 张文娟 汪佳琪 孙子瑜 张意保 吴育红 Zhang Wenjuan;Wang Jiaqi;Sun Ziyu;Zhang Yibao;Wu Yuhong(School of Nursing,Hangzhou Normal University,Hangzhou 310000,China)
出处 《中华现代护理杂志》 2024年第16期2107-2113,共7页 Chinese Journal of Modern Nursing
关键词 糖尿病视网膜病变 疾病体验 质性研究 Meta整合 Diabetic retinopathy Disease experience Qualitative study Meta-synthesis
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