国内肾移植术后患者心理体验的质性Meta整合

Psychological experiences of Chinese kidney transplant recipients: a meta-synthesis of qualitative studies

目的系统评价肾移植患者术后心理体验。方法计算机检索数据库中国知网、万方数据库、维普数据库、中国生物医学文献数据库,搜索关于肾移植患者术后真实体验的质性研究,检索时限从建库至2018年5月。进行文献质量评价后,采用Meta整合方法对研究结果进行归纳、诠释。结果共纳入8篇文献,提炼出52个结果、6个类别和3个整合结果,分别为肾移植术后患者消极心理、肾移植术后患者对未来与生命的心理感受、肾移植术后患者的自身健康需求与期望。结论医护人员应充分了解肾移植术后患者心理体验,做好针对性心理干预,引导患者调整认知和行为方式,提高患者的术后生活质量,并且增强患者对未来生活的心理资本。

Objective To systematically evaluate psychological experiences of patients after renal transplantation.Methods Qualitative studies reporting psychological experiences of patients after renal transplantation were retrieved from electronic databases of the Chinese National Knowledge Infrastructure,WANFANG data,VIP,and Chinese Bio Medical Database from inception to May,2018.After evaluating quality of the selected literature,a meta-synthesis was performed to summarize and interpret the research results.Results Eight studies were included.Fifty-two results,6 categories and 3 integrated results were extracted,including negative mood,feelings of future and life,health care needs and expectations.Conclusion Medical staff should fully understand psychological experiences of renal transplant recipients,provide targeted psychological intervention,and instruct patients to adjust cognitive and behavioral mode,thus to improve their quality of life and enhance their psychological capital for future life.