心室辅助装置植入术后患者生活感知与体验的Meta整合

Life perception and experience of patients after Ventricular Assist Device implantation:a Meta-synthesis

目的:整合心室辅助装置(VAD)植入术后患者生活感知与体验的质性研究,为制定有针对性的举措、提高患者生活质量提供依据。方法:计算机检索中英文数据库中关于VAD植入术后患者生活感知与体验的质性研究,检索时限为建库至2023年2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15篇文献,提炼出56个研究结果,归纳出10个新类别,4个整合结果:多维度的自我变化、应对与调适、需求与资源、设备管理和安全。结论:VAD植入术后患者经历多维度的感知改变,医护人员应正确引导,协助患者做出积极应对,并整合资源,提供社会支持,以满足患者多方面的需求,实现自我管理,早日回归社会。

Objective:To systematically review and synthesize qualitative studies on the life perception experience of patients after Ventricular Assist Device(VAD)implantation,and to provide a basis for the development of targeted measures which improve patients'quality of life.Methods:We searched for qualitative research on life perception and experience of patients after VAD implantation from Chinese and English databases.The retrieval period is from the establishment of the database to February 2023.The Joanna Briggs Institute Critical Appraisal Tool for qualitative studies in Australia(2016 edition)was used to evaluate the quality of included studies.And the results were consolidated using aggregative integration approach.Results:A total of 15 articles are included,with 56 complete research findings grouped into 10 categories by their similarities.And 4 integrated findings were synthesized,namely multidimensional self change,adaptation to VAD,the needs and resources of VAD patients,device management and security of VAD.Conclusion:The patients after VAD implantation experience multidimensional self change.Medical staff should guide patients correctly and assist them in making positive adaptation,provide support by integrating resources to meet the needs of patients,and help them achieve self-management,so as to promote their early reintegration into society.