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 ›› 2023, Vol. 23 ›› Issue (3): 424-430.doi: 10.3969/j.issn.1672-1756.2023.03.019

• 循证护理 • 上一篇    下一篇

妊娠高血压患者住院期间患病体验与需求的Meta整合

蔡明瑾 侯朝铭 高静 柏丁兮 陈昕羽 王薇 卢贤英   

  1. 成都中医药大学护理学院,611137 成都市
  • 出版日期:2023-03-15 发布日期:2023-03-15
  • 通讯作者: 侯朝铭,硕士,副教授,党委书记,E-mail:983729484@qq.com
  • 作者简介:蔡明瑾,本科,护师
  • 基金资助:
    四川省科技计划项目重点研发项目(2018SZ0376);2022年度四川省社科规划项目(SC22B150)

Experience and needs of patients with Hypertensive Disorders of Pregnancy during hospitalization: a qualitative Meta-synthesis

CAI Mingjin, HOU Chaoming, GAO Jing, BAI Dingxi, CHEN Xinyu, WANG Wei, LU Xianying   

  1. School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China
  • Online:2023-03-15 Published:2023-03-15
  • Contact: E-mail:983729484@qq.com

摘要: 目的:整合妊娠高血压患者患病体验,帮助临床工作者了解患者心理变化。方法:系统检索8个中英文数据库中关于妊娠高血压患者患病体验的研究,检索时限均为建库至2022年1月,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(2017)进行评价,采用汇集性整合方法对结果进行整合,2名研究员独立进行后交叉核对,如遇分歧与第3名研究员商讨决定。结果:共纳入13项研究,提取51个原始主题,整合形成4个主题和8个类别。4个主题:患者缺乏疾病相关的知识,希望能够获取正确的疾病信息;疾病造成了患者生理、心理上的双重不适;患者寻求情感和医疗专业支持;患者在确诊后逐渐摆脱困扰并采取主动应对措施。结论:妊娠高血压患者普遍缺乏疾病相关知识,渴望了解疾病的发展及自身和胎儿状况。医护人员应关注患者的心理状况,重视健康教育,动员患者家属帮助患者改善情绪,促进恢复。

关键词: 妊娠高血压;患病体验;Meta整合;质性研究

Abstract: Objective: To analyze the experience of patients with Hypertensive Disorders of Pregnancy (HDP). Methods: A total of eight databases (PubMed, EMBASE, Cochrane Library, Web of Science, CNKI, WanFang Data, SinoMed, VIP) were comprehensively searched for the qualitative studies from their inception to January, 2022. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research was used to critically assess the included studies. Qualitative data were extracted, summarized, and Meta-synthesized by two researchers independently and disagreements were discussed with a third researcher. Results: A total of 13 studies were included, 51 original themes were extracted, and 4 overarching themes and 8 categories were integrated. The overarching themes were as follows: being lack of disease related knowledge and hoping to obtain appropriate disease information; double discomforts in patients' physiology and psychology; seeking emotional and medical professional support; getting rid of the trouble and taking active measures after the diagnosis. Conclusion: HDP patients generally lack disease-related knowledge, are eager to learn about the disease development, the knowledge of HDP and their own/fetal status. Nurses should pay attention to their psychological condition and provide health education, and mobilize patients' families to help them recover from the disease.

Key words: Hypertensive Disorders of Pregnancy; patient experience; Meta-synthesis; qualitative study

中图分类号:  R47;R197