哮喘患儿家庭照护者照护体验的Meta整合

Caring experience of family caregivers of children with asthma:a Meta-synthesis

目的:系统整合哮喘患儿家庭照护者照护体验,为制定满足其内心需求的干预措施提供依据。方法:计算机检索中英文数据库中有关哮喘患儿家庭照护者体验的质性研究,检索时限为建库至2022年6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(2020版)评价文献质量,运用汇集性整合方法对结果进行整合。结果:共纳入21篇中英文文献,提炼出88个主题,归纳形成11个新类别,整合成3个结果:家庭关系及工作生活发生变化;哮喘管理过程存在多重挑战;主动接受并积极应对。结论:医护人员应重视哮喘患儿照护者的身心健康,不断寻求最佳解决方案,减少照护过程中遇到的障碍,为其提供情感、社会等多方面支持,以促进照护者正性体验,最终改善整体生活质量。

Objective:To systematically synthesize the caring experience of family caregivers of children with asthma to understand the inner needs of caregivers.Methods:We searched Chinese and English databases to collect qualitative studies on the experience of family caregivers of asthmatic children from the inception of databases to June 2022.The literature quality was appraised by the JBI critical appraisal tool for qualitative research(2020 edition).Findings of included studies were synthesized using Meta-aggregation.Results:A total of 21 Chinese and English papers were included.We extracted 88research findings which were collated into 11 themes and further classified into 3 categories:family relations and work life change due to multiple stressors from caring children with asthma;multiple challenges in asthma management;accepting and responding proactively.Conclusion:Healthcare professionals should pay high attention to the physical and mental health of caregivers of children with asthma,explore the challenges encountered in their caring process,and constantly seek optimal solutions.In addition,healthcare professionals should offer emotional and social support to promote the positive experience of caregivers and ultimately improve the overall quality of life.