造血干细胞移植患者照顾者体验的质性研究系统评价与Meta整合

Systematic review and Meta-analysis of qualitative research on caregivers′experience in patients with hematopoietic stem cell transplantation

目的系统评价造血干细胞移植患者照顾者的真实体验。方法计算机检索The Cochrane Library、PubMed、Scopus、Web of Science、PsycINFO、CBM、CNKI、VIP和万方数据库,检索关于造血干细胞移植患者照顾者体验的质性研究,检索时限均为从建库至2019年6月。采用"澳大利亚JBI循证卫生保健中心(2016)质性研究质量评价标准"评价,采用汇集性整合方法对结果进行整合。结果共纳入6项研究,提炼25个完整明确的研究结果,将相似结果归纳组合形成8个新的类别,并综合成5个整合结果:照顾者的身心体验、困境与需求、照顾者的应对策略、照顾过程中的社会支持、照顾者的适应与成长。结论医护人员应对这一人群的情绪、情感体验及他们的需求引起重视,在移植过程中帮助照顾者做好自我调节,更好地胜任照顾者的角色。

Objective To systematically evaluate the real experience of caregivers in patients with hematopoietic stem cell transplantation.Methods The Cochrane Library,PubMed,Scopus,Web of Science,PsycINFO,CBM,CNKI,VIP,and Wan Fang Data were searched for qualitative studies on caregivers'experience of hematopoietic stem cell transplant patients.The time limit for the search was from inception to June 2019.The results were assessed using a pooled integration approach using the Australian JBI Evidence-Based Health Care Center(2016)Quality Evaluation Standards Evaluation.Results A total of 6 studies were included to refine 27 complete and definitive findings,and similar results were grouped into 8 new categories and integrated into 5 integrated results:the physical and mental experience of the caregiver,dilemmas and needs,caregivers′coping style,social support in the care process,caregiver adaptation and growth.Conclusion Medical staff should pay attention to the psychological state and potential needs of this group.In the process of transplantation,the caregiver should be self-regulated and better qualified as a caregiver.