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 (12): 1855-1859.doi: 10.3969/j.issn.1672-1756.2025.12.019

• 循证护理 • 上一篇    下一篇

心脏外科术后患者谵妄真实体验的Meta整合

孙乐菲 郑静 吕珊珊 武传妮 刘先锋 刘丽   

  1. 山东第一医科大学附属省立医院心外监护室,250012 济南市
  • 出版日期:2025-12-15 发布日期:2025-12-15
  • 通讯作者: 吕珊珊,硕士,副主任护师,E-mail: lsslss.happy@163.com
  • 作者简介:孙乐菲,硕士,护师
  • 基金资助:
    山东省中医药科技面上项目(M20243601)

Real-life experience of delirium in postoperative cardiac surgery patients: a Meta-synthesis

SUN Lefei, ZHENG Jing, LYU Shanshan, WU Chuanni, LIU Xianfeng, LIU Li   

  1. Cardiac Surgery Intensive Care Unit, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250012, China
  • Online:2025-12-15 Published:2025-12-15
  • Contact: E-mail: lsslss.happy@163.com

摘要: 目的:系统评价心脏外科术后患者发生谵妄的真实感受,旨在为制定针对性心理干预措施提供参考。方法:计算机检索相关数据库,搜集关于心脏外科术后患者发生谵妄的真实感受,检索时限为建库至2024年10月31日。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对文献进行评价,采用汇集性整合法对结果进行整合。结果:共纳入8篇文献,提炼33个结果,形成9个类别,合成3个整合结果:自我症状感知;情绪后遗症;多元化需求。结论:心脏外科术后发生谵妄的患者面临身心双重挑战与困境,这种痛苦会长时间伴随并影响患者的生活。应及时了解并关注心脏外科术后谵妄患者的真实需求,提供相应支持和帮助,改善患者预后。

关键词: 心脏外科术后;谵妄;心理体验;Meta整合;质性研究

Abstract: Objective: To systematically evaluate the real feelings of delirium in postoperative cardiac surgery patients, aiming to provide reference for the development of targeted psychological interventions. Methods: We searched databases to collect information on the real feelings of delirium in postoperative cardiac surgery patients from their inception to October 31, 2024. The literature was evaluated using the assessment criteria for qualitative research issued by Australian JBI Center for Evidence-Based Health Care, and we integrated the results by the pooled integration method. Results: A total of 8 papers were included to extract 33 outcomes which were grouped into 9 categories to synthesize 3 integrative outcomes: self-symptom perception, emotional sequelae, and diverse needs. Conclusion: Patients with delirium after cardiac surgery face both physical and psychological challenges and difficulties, which will affect their lives for a long time. The real experience of delirium in postoperative cardiac surgery patients should be understood in a timely manner. Timely understanding and attention should be paid to the real needs of postoperative delirium patients in cardiac surgery, providing corresponding support and assistance to improve patient prognosis.

Key words: postoperative cardiac surgery; delirium; psychological experience; Meta synthesis; qualitative research

中图分类号:  R47;R197