轻度认知障碍患者患病体验的Meta整合

Illness experience of mild cognitive impairment patients:a Meta-synthesis

目的系统整合轻度认知障碍(MCI)患者患病体验的质性研究,为制定有效的干预方案以及开展延续护理提供依据。方法检索万方数据库、中国知网、维普网、中国生物医学文献数据库、PubMed、Embase、CINAHL、Web of Science、Cochrane Library中关于MCI患者患病体验的质性研究,检索时限为建库至2023年6月。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准评价文献质量,采用汇集性整合法对结果进行整合。结果共纳入14篇文献,提炼出55个研究结果,形成11个类别,综合为4个整合结果,分别为患者经历多维度功能的变化,现在及未来存在的挑战,患者疾病认知水平低下、希望得到多方面的支持,患者应对方式不同。结论MCI患者面临着认知、躯体、心理、社会等多方面挑战,家庭和医院应关注患者的问题与需求,给予患者持续、动态的情感支持和综合干预,引导患者积极应对疾病。

Objective To systematically synthesize qualitative research on the illness experience of patients with mild cognitive impairment(MCI),so as to provide a basis for developing effective intervention plans and implementing extended care.Methods Qualitative studies on the illness experience of MCI patients were searched in WanFang Data,China National Knowledge Infrastructure,VIP,China Biomedical Medicine Disc,PubMed,Embase,CINAHL,Web of Science,and Cochrane Library.The search period was from the establishment of the database to June 2023.The article quality was evaluated using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center.The aggregation integration method was used to synthesize the results.Results A total of 14 articles were included,and 55 research results were extracted to form 11 categories,which were combined into four synthesized results.The synthesized results included patients experiencing multi-dimensional functional changes,current and future challenges,patients with low levels of disease cognition,and a desire to receive support from multiple aspects,and vastly different coping styles among patients.Conclusions MCI patients face cognitive,physical,psychological,and social challenges.Families and hospitals should pay attention to the problems and needs of patients,provide them with continuous and dynamic emotional support and comprehensive intervention,and guide them to actively respond to the illness.