主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (1): 35-42.doi: 10.3969/j.issn.1672-1756.2019.01.010

• 论 著 • 上一篇    下一篇

脑卒中患者亲属照护者居家照护体验的系统评价

喻伟霞 王海芳 钮美娥 蔡建政 张滢滢 谢长清   

  1. 苏州大学医学部护理学院,215006 苏州市(喻伟霞);苏州大学附属第一医院护理部(王海芳,钮美娥,蔡建政,张滢滢,谢长清)
  • 出版日期:2019-01-15 发布日期:2019-01-15
  • 通讯作者: 王海芳,硕士,主任护师,护理部主任,E-mail:wanghaifang8519@163.com
  • 作者简介:喻伟霞,硕士在读
  • 基金资助:
    苏州市2017年度第十九批产业技术创新专项(SS201716)

The lived experience of family members caring for stroke patients at home: a systematic review of qualitative studies

YU Weixia, WANG Haifang, NIU Mei'e, CAI Jianzheng, ZHANG Yingying, XIE Changqing   

  1. School of Nursing, Medical College of Soochow University, Suzhou, Jiangsu province, 215006, China
  • Online:2019-01-15 Published:2019-01-15
  • Contact: WANG Haifang,E-mail:wanghaifang8519@163.com

摘要: 目的:分析脑卒中患者亲属照护者居家照护体验,为指导社区延续护理提供依据。方法:检索PubMed、EMbase、CINAHL、PsycINFO、中国生物医学文献数据库(CBM)、中国知网、万方数据、维普数据库,搜集关于脑卒中患者亲属照护者居家照护体验的质性研究。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准进行文献质量评价,并进行结果整合。结果:脑卒中患者亲属照护者居家照护体验归纳总结后形成7个类别,最终合成3个整合结果。①照护者在照护过程中经历沉重的负担、家庭关系改变、生活中的付出与牺牲;②随照护时间推移,逐渐调整并适应,获得精神支持;③由于脑卒中疾病的突发性,照护者出现照护能力不足,渴望在居家照护过程中获得医院-社区-家庭-社会支持系统的支持。结论:脑卒中患者亲属照护者照护负担沉重、照护能力不足,在延续护理过程中,应给予大力支持、指导,提高照护者应对能力。

关键词: 卒中;照护者;照护体验;定性研究;综述

Abstract: Objective: To systematic review the experience of caring stroke patients by family members at home and to provide basis for community transitional care. Methods: We searched the databases including PubMed, EMbase, CINAHL, PsycINFO, CBM, CNKI, Wanfang Date, and VIP to collect qualitative studies about experience of caring stroke patients by family members at home, evaluated the quality of included studies according to JBI Critical Appraisal Tool for qualitative studies in Australia. Results: A total of 18 qualitative studies were recruited and 60 complete findings were extracted. Totally 7 new categories were summarized, and 3 integration results were obtained:①Caregivers experienced heavy burdens, changes in family relationships, and sacrifices in their lives.②With the care time-lapse, caregivers gradually adjusted and adapt to obtain spiritual support.③With the sudden onset of stroke disease, the caregivers lacked care ability and were eager to obtain support from the hospital-community-family-social support system in the home care process. Conclusion: The caregivers had a heavy burden and lacked care ability. In the process of transitional care, we should support, guide and improve the coping ability of family members.

Key words: stroke; caregivers; caregiving experience; qualitative research; review

中图分类号: 

  • R47