不孕症夫妻疾病体验与应对质性研究的Meta整合

The infertility couples'disease experience and coping:a Meta-synthesis of qualitative studies

目的系统评价不孕症夫妻的疾病体验与应对策略。方法检索PubMed、Embase、PsyclNFO、Web of Science、中国生物医学文献数据库、中国知网和万方数据知识服务平台,纳入关于不孕症夫妻疾病体验与应对的质性研究,依据JBI循证卫生保健中心的定性研究质量评价标准进行文献质量评价,以汇集性整合方法对结果进行Meta整合。结果共纳入12项文献,提炼出38个明确研究结果,归纳合成10个新的类别,概括为4个整合结果,包括:面临的挑战与冲击;多维度支持需求;积极与消极应对方式并存;创伤后成长。结论医护人员需重视不孕症夫妻的疾病体验及应对,主动给予专业指导与支持,以改善双方心理健康状态,提高生活质量。

Objective To systematically evaluate the disease experience and coping strategies of infertile couples.Methods PubMed,Embase,PsyclNFO,Web of Science,CBM,CNKI and Wanfang were searched by computer to collect the qualitative research on the disease experience and coping strategies of infertile couples.The quality evaluation of the literature was conducted according to JBI Evidence-Based Health Care Center Quality Evaluation Standards to integrate the results by Meta pooled integration approach.Results A total of 12 studies were selected,and 38 intact and clear research results were extracted,summarized and combined into 10 new categories,and integrated into 4 integrated results,including face challenges and shocks,multi-dimensional needs,positive and negative coping styles,posttraumatic growth.Conclusion The medical staff should pay attention to the disease experience and response of infertile couples,and take the initiative to give professional guidance and support to improve their quality of life and mental health level.