基于理论域框架的肠造口患者性健康需求的系统评价

Sexual health needs of ostomy patients based on theoretical domains framework:a systematic evaluation

目的基于理论域框架系统评价肠造口患者性健康需求的质性研究,为临床照护与实践提供参考依据。方法系统检索中国知网、万方、维普数据库、中国生物医学文献数据库、PubMed、Embase、Web of Science、Cochrane Library、EBSCO、Scopus、CINAHL数据库中关于肠造口患者性生活体验的质性研究,检索时限从建库至2024年4月15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来评估文献质量,使用理论域框架对结果进行整合。结果共纳入11篇文献,提取出51个结果。结合理论域框架,将肠造口患者的性健康需求映射到知识、技能、乐观、结果信念、环境和资源、情感6个核心领域。结论医护人员应重视肠造口患者的性健康需求,在知识、技能、乐观、结果信念、环境和资源、情感6个核心领域主要需求内涵的基础上,深入探究影响性健康的因素,给予专业指导与全面照护,提高肠造口患者性健康水平及生命质量。

Objective To systematically evaluate the qualitative study on the sexual health needs of patients with ostomy based on theoretical domains framework(TDF),providing reference for clinical care and practice.Methods A comprehensive search was conducted for qualitative studies on the sexual experience of ostomy patients in the China National Knowledge Infrastructure,Wanfang Data,VIP database,China Biology Medicine,PubMed,Embase,Web of Science,Cochrane Library,Elton B.Stephens Company(EBSCO),Elsevier Scopus(SCOPUS),and Cumulative Index to Nursing and Allied Health Literature(CINAHL)databases,with a timeframe of from the creation of the databases to April 15,2024.The Joanna Briggs Institute Evidence Based Healthcare Center Critical Appraisal Tool was used to evaluate the quality of eligible literature,and the theoretical domain framework was used to integrate the extracted results.Results A total of 11 articles were included and 51 results were extracted.Based on the theoretical framework,map the sexual health needs of ostomy patients to six core areas:knowledge,skills,optimism,outcome beliefs,environment and resources,and emotions.Conclusions Medical staff should pay attention to the sexual health needs of patients with intestinal stomas.Based on the six core areas of knowledge,skills,optimism,outcome beliefs,environment and resources,and emotions,they should deeply explore the factors that affect their sexual health,provide professional guidance and comprehensive care,and improve their sexual health level and quality of life.