ICU患者早期活动体验质性研究的Meta整合

Meta synthesis of qualitative researches on early activity experience of ICU patients

目的系统评价ICU患者早期活动体验的质性研究。方法计算机检索PubMed、Web of Science、Cochrane Library、Embase、Elsevier、OVID、CINAHL、中国知网、维普网、万方数据库和中国生物医学文献数据库中关于ICU患者对进行早期活动真实体验的质性研究,检索时限为建库至2021年12月31日。采用澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心质性研究质量评价标准进行文献质量评价,采用Meta整合的方法对结果进行整合。结果共纳入8篇文献,提炼出37个结果、归纳成9个新类别、综合为3个整合结果,分别为早期活动必要性感知及获益、早期活动阻碍因素、对支持系统的渴求。结论早期活动在ICU患者康复过程中发挥着重要作用,但目前患者在进行早期活动中面临着许多障碍,医护人员应结合临床实际情况构建以患者安全为核心的ICU患者早期活动方案,为患者提供有效的社会支持,改善患者预后。

Objective To systematically review qualitative studies on early activity experience in ICU patients.Methods PubMed,Web of Science,Cochrane Library,Embase,Elsevier,OVID,CINAHL,CNKI,VIP,Wanfang Database and China Biomedical Literature Database were searched by computer for qualitative researches on early activity experience of ICU patients.The retrieval time was from the establishment of the database to December 31,2021.The quality of the literature was assessed using the Australian Joanna Briggs Institute(JBI)Evidence-Based Health Care Center Qualitative Research Quality Assessment Standard,and the results were integrated using the Meta integration method.Results A total of 8 literatures were included,37 results were extracted,grouped into 9 new categories,and integrated into 3 integrated results,which were the perception and benefit of early activity necessity,hindrance factors for early activity and desire for support system.Conclusions Early activity plays an important role in the rehabilitation process of ICU patients,but patients currently face many obstacles in carrying out early activity.Medical staff should build an early activity pscheme for ICU patients with patient safety as the core based on clinical practice,provide effective social support for patients and improve their prognosis.