造口患者性生活及亲密关系体验质性研究的Meta整合

Sexual life and intimate relationship experience of ostomy patients:a qualitative meta-synthesis

目的系统评价造口患者的性生活及亲密关系体验,为临床照护及实践提供参考依据。方法检索PubMed、Web of Science、Embase、Cochrane Library、Scopus、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于造口患者性生活和亲密关系体验的质性研究,检索时限为建库至2022年8月。采用澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心质性研究质量评价标准评价文献质量,采用Meta整合法进行结果整合。结果共纳入11篇文献,提炼41个主题,归纳10个类别,形成3个整合结果:造口术后性生活及亲密关系发生变化、多重因素影响造口术后性生活和亲密关系、维持性生活及亲密关系的相关需求和期望。结论医护人员应重视造口术后患者性生活及亲密关系的改变,识别造口患者性生活及亲密关系的影响因素,制订针对性干预措施,建立专业性支持系统,协助其维持生活常态。

Objective To systematically evaluate the sexual life and intimate relationship experience of ostomy patients,and to provide references for clinical care and practice.Methods A comprehensive search was conducted in the PubMed,Web of Science,Embase,Cochrane Library,Scopus,CNKI,Wanfang Database,VIP Database and China Biomedical Literature Database from their inception to August,2022 for the qualitative studies on experience of the sexual life and intimate relationship experience of ostomy patients.The Joanna Briggs Institute Critical Appraisal Tool for qualitative research in Australia was used to evaluate the quality of the studies,and a meta-synthesis method was applied to integrate the results.Results A total of 11 articles were included,and 41 complete findings were grouped into 10 categories according to their similarities.These 10 categories resulted in 3 synthesized findings,including multiple challenges to sex and intimacy after ostomy,multiple factors affecting sexual life and intimacy after stoma,requirements and expectations for maintaining sex and intimate relationships.Conclusion Medical staff should pay attention to the change of patients’sexual life and intimate relationship after ostomy,and give attention and support,in order to identify the influencing factors of the sexual life and intimate relationship of ostomy patients,to develop targeted interventions to assist patients with ostomy to maintain a normal life.