非酒精性脂肪性肝病患者自我管理需求质性研究的Meta整合

Self-management needs of patients with non-alcoholic fatty liver disease:a Meta-synthesis of qualitative research

目的系统整合非酒精性脂肪性肝病(NAFLD)患者自我管理需求的真实体验,为护理干预提供循证依据。方法检索中国知网、维普网、万方数据库、中国生物医学文献服务系统、PubMed、Web of Science、Embase、Cochrane Library、CINAHL中相关的质性研究,检索时限均为建库至2023年3月17日。根据纳入与排除标准进行文献筛选,采用澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心的质性研究真实性评价工具进行质量评价,使用汇集性整合方法进行结果整合,并通过定性系统评价证据分级工具(CERQual)评价整合结果的质量等级。结果共纳入9篇文献,提取出36个研究结果,归纳为7个新类别,整合成3个结果,分别为信息支持需求、方案支持需求、社会支持需求。CERQual评价结果显示,信息支持需求、方案支持需求、社会支持需求的质量等级依次为高、中、中。结论NAFLD患者需要更为全面的自我管理支持系统,以提升患者自我管理水平,减轻其疾病负担。

Objective To systematically integrate the real experience of self-management needs of patients with non-alcoholic fatty liver disease(NAFLD)and provide evidence-based basis for nursing interventions.Methods Relevant qualitative research was searched on China National Knowledge Infrastructure(CNKI),VIP,Wanfang Data,SinoMed,PubMed,Web of Science,Embase,Cochrane Library,and CINAHL.The search period was from the establishment of the database to March 17,2023.Literature screening was conducted based on inclusion and exclusion criteria,and quality evaluation was conducted using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute(JBI)Evidence-Based Health Care Center in Australia.The results were synthesized by integrating method,and the quality of the integration results was evaluated through the Confidence in the Evidence from Reviews of Qualitative research(CERQual).Results A total of 9 articles were included,36 research results were extracted,summarized into 7 new categories,and integrated into 3 results,namely information support needs,solution support needs,and social support needs.The results of CERQual showed that the quality levels of information support needs,solution support needs,and social support needs were high,medium,and medium in order.Conclusions NAFLD patients need a comprehensive self-management support system to improve their self-management and reduce the disease burden.