脑卒中后患者吞咽障碍真实体验的质性Meta整合

Qualitative meta-synthesis of real experiences of stroke patients with dysphagia

经计算机检索数据库,收集从建库至2021年12月关于脑卒中后患者吞咽障碍体验的质性研究文献,对结果进行Meta整合,旨在系统评价和整合脑卒中后患者吞咽障碍的真实体验。结果共纳入11篇中英文文献,提炼出73个研究结果,经归纳、综合成3个整合结果,共包含10个新类别。整合结果发现患者经历严重的生理障碍与矛盾情绪;患者的日常生活和家庭社会角色受限,但随时间推移,患者尝试恢复日常生活和家庭社会角色;患者逐渐自我调整,并管理吞咽障碍,但仍渴望得到医务人员的持续支持。结果提示医务人员需关注患者的经历、需求与体验,给予相应支持和指导,帮助患者改善生理、心理、社会等层面的困境,提高患者吞咽相关的生活质量。

To systematically review and synthesize the lived experience of living with post-stroke dysphagia,relevant electronic databases were searched from inception to December 2021,to collect qualitative studies in the experience of living with post-stroke dysphagia.A total of 11 studies were included,and 73 complete findings were grouped according to 3 integrated results to form 10 new categories.Integration results found that patients suffered from both physiological and psychological burdens;patients were limited in daily life and social activities,and attempted to reintegrate to social and life roles over time;patients gradually adjusted themselves and achieve self-management,while they desired to receive continuing support from medical staff.Medical staff should pay attention to the patient s needs and experience,giving corresponding support to help patients improving the physiological,psychological, social and other aspects, in order to improve the patient s swallowing-related quality of life.