肝移植活体供者术后心理体验的Meta整合

Meta-integration of the psychological experience of living donors after liver transplantation

目的系统评价有关肝移植活体供者术后心理体验的质性研究,分析肝移植活体供者术后的心理体验,为制订满足其内心需求的干预措施提供依据。方法计算机检索PubMed、Web of Science、Embase、Cochrane Library、EBSCO、中国知网、万方数据库、中国生物医学文献数据库、维普网等数据库,收集与肝移植活体供者术后心理体验、生活体验相关的质性研究,检索时限均为建库至2022年11月30日。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(2016)对纳入的研究进行质量评价,并采用汇集性整合方法整合结果。结果共纳入10篇文献,提炼出29个主要结果,归纳成6个新的类别,综合成肝移植活体供者术后的负性心理体验、肝移植活体供者术后的正性心理体验、肝移植活体供者术后的心理支持需求3个整合结果。结论护士应重视肝移植活体供者术后的负性心理体验,强化其正性心理体验,帮助肝移植活体供者术后获得更多的家庭支持和社会支持,满足其心理和生理支持需求。

Objective To systematically evaluate the qualitative studies on the psychological experience of living donors after liver transplantation,analyzing the psychological experience of living donors after liver transplantation,so as to provide a basis for formulating intervention measures to meet their inner needs.Methods Qualitative studies on postoperative psychological experience and life experience of living liver transplant donors were searched by computer on PubMed,Web of Science,Embase,Cochrane Library,EBSCO,CNKI,Wanfang Database,China Biology Medicine disc,VIP and other databases.The search period was from the establishment of the database to November 30,2022.The quality of the included studies was evaluated using the Joanna Briggs Institute(JBI)Evidence-Based HealthCare Quality Evaluation Criteria(2016),and the results were integrated using a pooled integration approach.Results A total of 10 articles were included,29 main results were extracted and summarized into 6 new categories.The 3 integrated results were negative psychological experience of living liver transplant donors after surgery,positive psychological experience of living liver transplant donors after surgery,and psychological support needs of living liver transplant donors after surgery.Conclusions Nurses should pay attention to the negative psychological experience of living donors after liver transplantation,strengthen their positive psychological experience,help them get more family and social support after liver transplantation and meet their psychological and physiological support needs.