经皮冠状动脉介入术后患者自我健康管理体验质性研究的系统评价

Patient self-health management after percutaneous coronary intervention:A systematic review of qualitative studies

目的系统评价经皮冠状动脉介入治疗(PCI)术后患者自我健康管理体验的质性研究,为医护人员对患者提供自我健康管理方案奠定基础。方法检索知网、万方、中国生物医学文献数据库(CBM)、EMbase、PubMed、Web of Science、The Cochrane Library数据库从建库至2022年4月2日收录的质性研究。采用JBI循证卫生保健中心制定的真实性评价标准对纳入的研究进行质量评价,采用Meta整合方法对结果进行整合。结果共纳入11篇文献,整合出44个结果,归纳出9个类别,得到4个整合结果:自我健康管理知识缺乏;自我健康管理信念感不强;自我健康管理行动力不足;自我健康管理影响因素。结论PCI术后患者缺乏自我健康管理知识,保持长期良好行为习惯的信心不强,自我健康管理自律性差,患者仍希望得到良好的家庭和社会支持,护理人员需建立多维度全方位的照护模式,促进PCI术后患者的自我健康管理,提高生活质量。

Objective To systematically evaluate the self-health management experience of patients after percutaneous coronary intervention(PCI),laying the foundation for medical staff to provide patients with self-health management programs.Methods The study colleted literatures on the self-health management experience of patients after PCI in the CNKI,WANGFANG,CBM,PubMed,Embase,Web of Science,and The Cochrane Library from inception to April 2th,2022.The JBI critical appraisal tool for qualitative studies in Australia was used to evaluate the quality of studies.Meta aggregative approach was used to integrate the results.Results A total of 11 studies were included,in which there were 44 complete research results,9 categories,and 4 integrated results as followed:lack of self-health management knowledge,lack of self-health management confidence,Lack of self-health management motivation and related factors of self-health management.Conclusion Patients after PCI lack self-health management knowledge,confidence,and motivation;and patients after PCI need to get a good family and social support.Nurses should establish a multi-dimensional comprehensive care model to promote the self-health management and the quality of life of patients after PCI.