造血干细胞移植患者保护性隔离期心理体验的meta整合

Meta-integration of psychological experience in patients undergoing hematopoietic stem cell transplantation during protective isolation period

目的系统评价造血干细胞移植患者保护性隔离期心理体验,为医护人员提供支持性照护提供参考。方法计算机检索PubMed、the Cochrane Library、Psyc INFO、Web of Science、EMbase、CINAHL、CNKI、CBM、Wang fang、VIP等数据库,检索关于造血干细胞移植患者保护性隔离心理体验的质性研究,检索时限均从建库至2020年5月25日。采用澳大利亚循证卫生保健中心质性研究质量评价标准(2017)评价文献及meta整合方法对结果进行整合。结果共纳入11篇文献,中文2篇,英文9篇,提炼85个结果,归纳组合为9个新类别,整合成3个结果:移植前的普遍感受、保护性隔离的负性影响、积极应对因素。结论临床医务人员应重视造血干细胞移植患者在保护性隔离期间的整体感受,了解患者的真实体验和需求,并及时、有针对性地为患者提供帮助。

Objective To systematically evaluate the psychological experience of patients undergoing hematopoietic stem cell transplantation during the protective isolation period,and to provide reference for medical staff to provide supportive care.Methods PubMed,the Cochrane Library,Psyc INFO,Web of Science,EMbase,CINAHL,CNKI,CBM,Wang Fang,VIP and other databases were searched by computer.Qualitative research on the psychological experience of protective isolation in patients with hematopoietic stem cell transplantation were retrieved from the establishment of the database until May 25,2020.The results were integrated using the evaluation literature of evidence-based Health Care Australia’s Quality Evaluation Criteria for Qualitative Research(2017)and the meta integration method.Results A total of 11 articles,two in Chinese and nine in English,were included,a total of 85 results were extracted and grouped into nine new categories,which were integrated into three results:general feelings before transplantation,negative effects of protective isolation,and positive coping factors.Conclusion Clinical medical staff should pay attention to the overall feeling of patients with hematopoietic stem cell transplantation during the protective isolation period,understand the real experience and needs of patients,and provide timely and targeted help to patients.