青少年非自杀性自伤心理体验质性研究的Meta整合

Meta-synthesis of qualitative research on the psychological experience of non-suicidal self-injury inadolescents

目的为系统整合青少年非自杀性自伤(NSSI)心理体验的质性研究。方法计算机检索中国知网、万方数据库、维普网、中国生物医学文献数据库、PubMed、Webof Science、Embase、Cochrane Library数据库中关于青少年NSSI心理体验的质性研究,检索时限为建库至2023年6月27日。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(2016版)进行方法学质量评价,采用Meta整合方法对纳入的文献进行结果整合。结果共纳人15篇文献,包括10篇现象学研究、1篇描述性质性研究、1篇混合研究、1篇叙事研究、1篇探索性研究、1篇扎根理论。提炼出31个结果,归纳为10个类别,整合得出3个结果:青少年NSSI的触发因素、NSSI成为一种应对策略、NSSI青少年内心的矛盾与挣扎。结论青少年NSSI带来复杂的心理和感官体验,医护人员应密切关注青少年的情绪变化,加强心理评估,指导青少年正确应对负性情绪,提高身心健康水平。

Objective To systematically integrate qualitative research on the psychological experience of non-suicidal self-injury(NSSI)in adolescents.Methods A comprehensive literature search was conducted in databases including China National Knowledge Infrastructure,WanFang data,VIP,China Biology Medicine disc,PubMed,Web of Science,Embase,and Cochrane Library for qualitative studies on the psychological experience of NSSI in adolescents and the search period covered the inception of the databases until June 27,2023.The methodological quality of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research(2016 edition).The results were integrated using the Meta-synthesis method.Results A total of 15 studies were included,comprising ten phenomenological studies,one descriptive qualitative study,one mixed-method study,one narrative study,one exploratory study,and one grounded theory study.Thirty-one findings were extracted and synthesized into ten categories,resulting in three main themes:triggers of adolescent NSSI,NSSI as a coping strategy,and the internal conflict and struggle of adolescents engaging in NSSI.Conclusions Adolescents engaging in NSSI experience complex psychological and sensory responses.Healthcare professionals should closely monitor adolescents'emotional changes,enhance psychological assessments,and guide them in coping with negative emotions effectively to improve their physical and mental health.