女性压力性尿失禁患病体验质性研究的Meta整合

Meta integration of qualitative research on real experience of female patients with stress urinary incontinence

目的对压力性尿失禁女性患者患病体验进行整合,为临床医护人员实施积极心理照护提供循证依据。方法计算机检索The Cochrane Library、PubMed、EMbase、Web of Science、OVID、CINAHL、中国知网、万方数据库、维普数据库、中国生物医学数据库,检索年限从建库至2022年1月。采用澳大利亚JBI循证卫生中心的质性研究真实性评价工具(2016版)对文献质量进行评价,采用汇集性整合方法对结果进行分析。结果纳入的10篇文献提炼30个研究结果,将相似结果归纳总结形成6个新的类别,最后综合成2个整合结果:压力性尿失禁让患者丧失对身体的控制,造成生理障碍,产生自我否定、混乱、隔离等负性情绪;压力性尿失禁患者对自身症状知晓程度滞后,渴望外界主动关注,足够的社会支持帮助其自我管理。结论尿失禁给女性患者带来较大身心困扰,一方面,患者应提高自我管理与心理认知水平,积极融入社会生活;另一方面,医护人员应注重患者的心理变化,向患者及家属普及尿失禁相关知识,增强社会及家庭支持,以提高患者生活质量。

Objective To meta integrate the qualitative research on psychological experience of female patients with stress urinary incontinence(SUI), and to provide evidence for positive psychological care for the population. Methods We searched Cochrane Library, PubMed, EMbase, Web of Science, OVID, CINAHL, CNKI, VIP, Wanfang and China biomedical database for publications indexed into the aforementioned databases within the period spanning from establishment of the database to January 2022. The included publications were appraised with JBI′s evaluation tool for qualitative research(2016 Edition) for quality inspection, and the results were analyzed by pooled integration method. Results A total of 30 research results were extracted from 10 included publications. Similar results were summarized into 6 new categories, and finally integrated into two integrated results:(1)SUI made patients lose control of the body, resulting in physiological disorders, as well as negative emotions such as self denial, confusion and isolation;(2)SUI patients had a lagging awareness of their own symptoms, and were eager for active attention from the outside world, and sufficient social support could help them foster self-management. Conclusion Urinary incontinence brings great physical and mental distress to female patients. On one side, patients should improve their self-management and psychological cognition, and actively return to social life. On the other side, medical staff should pay attention to the psychological changes of patients, spread urinary incontinence related knowledge to patients and their families, and enhance social and family support, so as to improve the quality of life of patients.