脊髓损伤患者出院后重返社会体验质性研究的Meta整合

Experience of patients with spinal cord injury returning to society after discharge:a Meta-synthesis of qualitativestudies

目的整合脊髓损伤患者出院后重返社会真实体验的质性研究, 为更好地制订延续性护理干预方案提供依据, 促进患者重新融入社会。方法计算机检索从建库至2023年8月30日在中国知网、万方数据、维普网、中国生物医学文献服务系统、Cochrane Library、Pubmed、Embase、Web of Science、CINAHL等数据库发表的关于脊髓损伤患者出院后重社会真实体验的质性研究中英文文献。使用澳大利亚JBI循证卫生保健中心(2016)质性研究质量评价标准评价文献质量, 运用Meta整合方法对结果进行整合。结果共纳入16篇研究, 提炼出51个研究结果, 将相似的研究结果归纳组合, 形成12个新的类别, 并综合成4个整合结果:出院后伴随的身心不适;重新融入社会面临的压力与挑战;渴望获得多方面的支持;自我调适角色改变, 重新适应生活。结论脊髓损伤患者在重返社会过程中存在多种心理体验, 医护人员应关注其内心需求, 帮助其克服压力与挑战, 为其提供个性化的延续性护理, 促进其角色适应重新融入社会。

Objective To integrate qualitative research on the real experience of patients with spinal cord injury(SCI)returning to society after discharge,so as to provide a basis for developing transitional care intervention program,and promote patients'reintegration into society.Methods Qualitative research on the real experience of patients with SCI returning to society after discharge was electronically retrieved on China National Knowledge Infrastructure,WanFang Data,VIP,China Biomedical Literature Service System,Cochrane Library,PubMed,Embase,Web of Science,CINAHL,and so on.The search period was from database establishment to August 30,2023.The quality evaluation criteria for qualitative research of the JBI Evidence-Based Health Care Center(2016)was used to assess the quality of literature,and Meta-synthesis was used to integrate the results.Results A total of 16 articles were included,and 51 research results were extracted.Similar research results were summarized and combined to form 12 new categories,which were then synthesized into four integrated results,including experiencing physical and mental discomfort following discharge,facing challenges in reintegrating into society,seeking social support,and adapting to social life through self-adjustment role changes.Conclusions Patients with SCI have multiple psychological experiences in the process of reintegration into society.Medical and nursing staff should attach importance to their inner needs,help them overcome stress and challenges,provide them with personalized continuous care,and promote their role adaptation and reintegration into society.