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 ›› 2025, Vol. 25 ›› Issue (7): 1068-1072.doi: 10.3969/j.issn.1672-1756.2025.07.020

• 循证护理 • 上一篇    下一篇

慢性心力衰竭患者确诊后未满足需求的混合方法系统评价

王伊钶 贾盈盈 兰美娟 何晓娣 郭志冉 陈媛儿 沈航   

  1. 浙江大学医学院附属第二医院护理部,310009杭州市(王伊钶,贾盈盈,兰美娟,何晓娣,郭志冉,陈媛儿,沈航);心脏大血管外科(王伊钶,贾盈盈,何晓娣,陈媛儿,沈航);心脏大血管外科重症监护病房(郭志冉)
  • 出版日期:2025-07-15 发布日期:2025-07-15
  • 通讯作者: 兰美娟,硕士,主任护师,护理部主任,E-mail:lanmj@zju.edu.cn
  • 作者简介:王伊钶,硕士,护师
  • 基金资助:
    浙江省医药卫生科技计划项目(2023KY731); 浙江省教育厅一般科研项目(Y202352490)

Unmet needs for patients with Chronic Heart Failure in the hospital-community-home care model: a mixed methods systematic review

WANG Yike, JIA Yingying, LAN Meijuan, HE Xiaodi, GUO Zhiran, CHEN Yuan'er, SHEN Hang   

  1. Nursing Department, The Second Affiliated Hospital of Zhejiang University Medical College, Hangzhou, 310009, China
  • Online:2025-07-15 Published:2025-07-15
  • Contact: E-mail:lanmj@zju.edu.cn

摘要: 目的:系统评价国内外慢性心力衰竭(Chronic Heart Failure,CHF)患者确诊后未满足需求的研究,为减少CHF患者未满足需求提供参考。方法:采用混合方法研究系统评价设计,在相关数据库中检索自建库至2025年2月5日的相关文献,对CHF患者确诊后未满足需求采用基于数据的收敛整合方法进行分析。结果:共纳入15项研究,1 525例CHF患者,超过60%的CHF患者存在2种及以上确诊后未满足需求。最终整合结果显示,CHF患者存在16种未满足需求:生理需求;日常生活活动;心理支持;疾病相关知识技能;精神卫生需求;经济援助;政府支持;亲友支持;生活自我控制感;医护人员支持;与医护人员共同决策;出院准备;信息需求;移动医疗;精神寄托需求;延续性护理。结论:CHF病情复杂,患者生活质量低,未满足需求较多。未来有必要深入研究,针对CHF患者诸多未满足需求,构建更具针对性的CHF护理干预方案。

关键词: 慢性心力衰竭患者;未满足需求;混合研究系统评价;混合研究质量评价工具

Abstract: Objective: To systematically review the domestic and foreign research on unmet needs of patients with Chronic Heart Failure (CHF), and thus to provide reference for reducing those unmet needs. Methods: We searched related database from their inception to February 5, 2025. The data-based convergence and integration design was adopted to analyze the unmet needs of patients diagnosed with CHF. Results: A total of 15 studies were included, comprising 1,525 CHF patients. Notably, over 60% of the CHF patients experienced two or more unmet needs post-diagnosis. The final integration results showed 16 unmet needs in CHF patients, referring to physiological needs, activities of daily living, psychological problems, disease-related knowledge and skills defiency, mental problems; economic problems, lack of government support, lack of family support; decreased self-control in life, lack of medical staff support, shared decision-making with medical staff, transitional self-care program learning, discharge preparation, information need, mobile health, exploration of psychosomatic medicine and continuous nursing. Conclusion: Due to the long course and complex conditions of CHF, patients tend to suffer low quality of life. Since there are still many unmet needs that have not been solved, future in-depth researches are needed to construct more targeted CHF nursing intervention programs according to their unmet needs.

Key words: patients with chronic heart failure; unmet needs; mixed methods systematic review; mixed methods appraisal tools

中图分类号:  R47;R197