患者家属ICU日记使用感受研究的Meta整合

Experience of patient's family members using ICU diaries experience:a Meta-integration

目的:系统评价重症患者家属使用ICU日记的感受和看法。方法:计算机检索PubMed、CINAHL、Web of Science、中国知网、万方、维普网等中英文数据库,收集与重症患者家属对使用ICU日记感受相关的质性研究,检索时限为建库至2020年3月。两名研究者采用Meta整合方法对研究结果进行提取、归纳、整合、诠释。结果:共纳入7项研究,提炼33个主要结果,归纳成6个新的类别,综合成3个整合结果,分别为搭建沟通桥梁、获得情感体验、体现人文关怀。结论:ICU日记的应用体现了“以患者-家庭为中心”的整体制护理理念,满足家属对信息和支持的需求,并展现了医护人员对患者及家属的人文关怀。

Objective:To systematically evaluate the experiences of the family members of patients using ICU diary.Methods:Chinese and English databases including PubMed,CINAHL,Web of Science,CNKI,WanFang Data and VIP were searched for qualitative studies related to the impact of ICU diaries on critically ill patients and families from inception to March 2020.Two researchers independently screened,evaluated,and extracted the data.Meta synthesis was used to summarize and explain the results.Results:A total of 7 studies were included,33 findings were integrated into 6 categories and finally 3 synthesized results were summarized:building a bridge of communication,obtaining emotional experience and experiencing humanistic care.Conclusion:The application of ICU diaries embodies the theory of holistic patient-and family-centered care,which fulfilled needs of family members of critically ill patients with information and support.