糖尿病患者病耻感体验质性研究的Meta整合

Stigma experience of patients with diabetes:a qualitative meta-synthesis

目的整合糖尿病患者生活、治疗、自我管理过程中的病耻感体验,了解其内心真实感受,以期能更有针对性地对糖尿病患者实施干预措施。方法检索PubMed、Embase、Web of Science、Cochrane Library、中国知网、维普、万方、中国生物医学文献数据库,收集关于糖尿病患者病耻感体验的质性研究,检索时限为建库至2022年6月。采用汇集性整合的方法对纳入文献进行整理分析。结果共纳入6篇研究,提炼出37个结果,形成7个新类别,综合为3个整合结果(病耻感带来的负性体验;同伴支持促进积极应对病耻感;1、2型糖尿病患者病耻感及体验的比较)。结论糖尿病患者的病耻感有多种形式,需重视患者病耻感的不同体验,采取有效的个体化干预措施减轻患者病耻感,增强自我管理能力,提高生活质量。

Objective To integrate the stigma experience of diabetes patients in the process of life,treatment and self-management,and understand their real feelings,so as to implement targeted interventions for diabetes patients.Methods Qualitative research on stigma experience of diabetes patients was retrieved in PubMed,Embase,Web of Science,Cochrane Library,China National Knowledge Infrastructure(CNKI),VIP,WanFang Data,and China Biomedical Literature Database.The search period was from the establishment of the database to June 2022.The method of aggregative integration was used to organize and analyze the included literature.Results A total of 6 studies were included.A total of 37 results were extracted,forming 7 new categories,which were integrated into three integrated results(negative experience brought by stigma,peer support promoted positive coping with stigma,comparison of stigma and experience of patients with type 1 and 2 diabetes).Conclusions There are many forms of stigma in diabetes patients.It is necessary to pay attention to the different experiences of patients'stigma,take effective individualized interventions to reduce their stigma,enhance their self-management ability,and improve the quality of life.