人工髋膝关节置换术后患者重返工作过程中真实体验的Meta整合

The real experience of patients after total hip and knee arthroplasty for returning to work:a Meta-synthesis

目的系统整合人工髋膝关节置换术后患者在重返工作过程中的真实体验,为患者成功重返工作提供参考。方法计算机检索Cochrane Library、PubMed、Embase数据库中国内外关于人工髋膝关节置换患者重返工作过程中真实体验的质性研究,检索时限为建库至2023年5月29日,采用Meta整合的方法对研究结果进行分析。结果共纳入6项研究,提炼46个结果,归纳后形成9个类别,整合成4个主题:患者重返工作的动机多样、影响患者重返工作的因素较多、重返工作过程中患者渴求得到帮助、汲取经验提升成功重返工作信心。结论关节置换患者重返工作过程中障碍较多,心理负担较大,希望得到多方面支持。医护人员应该重视此类人群的需求,提供完善医疗支持,积极促进患者重返工作。

Objective To investigate the real experience of patients returning to work after total hip and knee arthroplasty,in order to provide a reference for patients to return to work successfully.MethodsWe searched for qualitative studies on the real experience of patients after total hip and knee arthroplasty in the returning to work process at home and abroad in the databases such as Cochrane Library,PubMed and Embase,etc,and the search period was from the establishment of the library to May 29,2023,and the results were integrated by Meta-integration.ResultsA total of 6 studies were included,46 results were extracted,and 9 categories were formed and integrated into 4 themes,patients had different motivations for returning to work,there were many factors influencing patients′return to work,and patients were eager to be helped in the process of returning to work,and learned from experience to improve their confidence in successfully returning to work.ConclusionsPatients with joint replacement have many obstacles and psychological burden in the process of regression,and hope to receive support from many aspects.Healthcare workers should pay attention to the needs of these populations,provide improved medical support,and actively promote the return of patients to work.