血液透析患者疲劳体验及管理质性研究的Meta整合

Meta integration of qualitative research on fatigue experience and self-management in hemodialysis patients

目的系统评价与整合血液透析患者疲劳体验及管理的质性研究。方法计算机检索Cochrane Library、Web of Science、PubMed、CINAHL、Embase、Scopus、CBM、知网、万方、维普数据库建库至2023年12月发表的关于血液透析患者疲劳体验或管理的质性研究,采用汇集性整合方法对结果进行Meta整合。结果共纳入9篇文献,提炼出38个结果,形成10个类别,汇总成4个整合结果:血液透析患者对疲劳的认知、疲劳产生的影响、患者自我管理策略、疲劳管理需求及挑战。结论血液透析患者疲劳管理存在认知缺乏、负性情绪影响、自我管理策略不全面、干预措施不精准等障碍,医疗机构应构建多样化管理策略并提供全面支持,完善患者自我管理策略,延长血液透析患者生存周期并提高其生活质量。

Objective To systematically evaluate and integrate the qualitative studies on fatigue experience and management in hemodialysis patients.Methods Cochrane Library,Web of Science,PubMed,CINAHL,Embase,Scopus,CBM,CNKI,Wanfang,and VIP databases were searched for qualitative studies on the experience and management of fatigue in hemodialysis patients from their inception to December 2023.Results A total of 9 articles were included,38 results were extracted,10 categories were formed,and 4 integrated results were summarized:hemodialysis patients'cognition of fatigue,the impact of fatigue,patient selfmanagement strategies,fatigue management needs and challenges.Conclusion There are obstacles in the management of fatigue in hemodialysis patients,such as cognitive deficiency,negative emotional influence,incomplete self-management strategies,and imprecise interventions.Medical institutions should build diversified management strategies and provide comprehensive support to improve self-management strategies,survival cycle,and quality of life in hemodialysis patients.