心脏骤停幸存者真实体验质性研究的Meta整合

Experiences of cardiac arrest survivors:a qualitative meta-synthesis

目的总结心脏骤停幸存者的真实体验,为有针对性地提供心脏骤停急救护理提供参考。方法计算机检索PubMed、Embase、Web of Science、The Cochrane Library、CINAHL、中国知网、维普数据库和万方数据库,搜集有关心脏骤停幸存者真实体验的质性研究。检索时限为建库至2020年8月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准评价文献质量,采用汇集性整合的方法进行结果整合。结果共纳入11篇文献,梳理出59个研究结果。经归纳提练为面临多重转变与挑战的身心感受、通过更新自我认知实现生活重建、渴求并感恩外界的支持与帮助3个整合结果及所属9个类别21个结果。结论心脏骤停幸存者存在多方面的心理社会问题与需求,医护人员应加以重视,予以针对性干预,帮助其重建社会生活,提高生活质量。

Objective To summarize the lived experiences of cardiac arrest survivors and to provide reference for rehabilitation.Methods We searched electronic databases including PubMed,Embase,Web of Science,The Cochrane Library,CINAHL,CNKI,VIP and WanFang Data to collect qualitative studies on the experiences of cardiac arrest survivors from inception to August 2020.Quality of the literature was evaluated according to JBI Critical Appraisal Checklist for Qualitative Research and then meta-synthesis was performed.Results Eleven studies were included and 59 research results were extracted.Three synthesized findings with 9 categories comprising 21 results were determined:physical and mental feelings of multiple changes and challenges;renewal of self-cognition and reconstruction of life;and desire and gratitude for external help and support.Conclusion Cardiac arrest survivors have multiple psychosocial problems and needs,so medical staff should pay attention to and provide targeted interventions to help them reconstruct social life and improve quality of life..