急性冠状动脉综合征患者介入术后真实体验质性研究的系统评价

Experience of Patients with Acute Coronary Syndrome after Interventional Therapy:A Systematic Review of Qualitative Studies

目的系统评价急性冠状动脉综合征患者介入术后真实体验的质性研究,为医护人员制定干预措施、促进患者整体健康提供依据。方法检索The Cochrane Library、PubMed、Web of Science、Embase、Science Direct及CNKI、CBM、VIP、万方数据库从建库至2019年5月16日的质性研究。通过JBI循证卫生保健中心质性研究质量评价标准评价纳入研究的质量,采用Meta整合方法整合结果。结果共纳入9项研究,提炼39个完整结果,归纳出8个类别,形成4个整合结果:经皮冠状动脉介入术后疾病感受的多样性;患者疾病信息的缺乏;康复期的变化;对社会支持的渴望。结论急性冠状动脉综合征患者术后在心理、生理及社会功能等方面均受影响,生活方式明显改变,渴望信息及情感支持,医护人员应针对其不良情绪和疾病管理给予指导,帮助其建立积极应对方式,协助家属完善患者社会支持系统,加快患者康复进程。

Objective To systematically evaluate the real experience of patients with acute coronary syndrome(ACS)after interventional therapy,to provide basis for medical staff to develop intervention measures and promote the overall health of patients.Methods We collected literatures on the experience of ACS patients after interventional therapy in The Cochrane Library,PubMed,Embase,Science Direct,Web of Science,CBM,CNKI,WANFANG and VIP from the inception to May 16th,2019.The JBI critical appraisal tool for qualitative studies in Australia was used to evaluate the quality of studies.Meta aggregative approach was used to integrate the results.Results A total of 9 studies were included,in which there were 39 complete research results,8 categories,and 4 integrated results as followed:psychological feelings after PCI;inadequate information;changes during the rehabilitation and the desire for social support.Conclusion Psychological,physiological and social functions of ACS patients after interventional therapy were affected and obvious changes in the way of life were found so they are eager for information and social support.Medical staff should provide personalized guidance for adverse emotions and disease management,help them establish a positive coping mode,improve the social support system of patients,thus to promote the rehabilitation of the patients.