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 ›› 2026, Vol. 26 ›› Issue (6): 862-867.doi: 10.3969/j.issn.1672-1756.2026.06.012

• 循证护理 • 上一篇    下一篇

肠造口患者获得医疗服务体验的Meta整合

李丹琪 陈梦云 乔莉娜 王惠君 代雯晴 金鲜珍   

  1. 延安大学延安医学院,716000 陕西省延安市(李丹琪);西安交通大学第一附属医院普通外科(陈梦云,乔莉娜,王惠君,金鲜珍);护理部(代雯晴)
  • 出版日期:2026-06-15 发布日期:2026-06-15
  • 通讯作者: 金鲜珍,硕士,副主任护师,硕士生导师,E-mail:582137746@qq.com
  • 作者简介:李丹琪,硕士在读
  • 基金资助:
    西安交通大学第一附属医院院基金项目(2022HL-33)

Experience of enterostomy patients in utilizing medical services: a Meta-synthesis

LI Danqi, CHEN Mengyun, QIAO Lina, WANG Huijun, DAI Wenqing, JIN Xianzhen   

  1. School of Medicine, Yan'an University, Yan'an, Shaanxi province, 716000, China
  • Online:2026-06-15 Published:2026-06-15
  • Contact: E-mail:582137746@qq.com

摘要: 目的:系统评价肠造口患者获得医疗服务体验的质性研究,为医护人员优化照护策略提供参考。方法:系统检索相关数据库中关于肠造口患者获得医疗服务体验的质性研究,检索时限自建库至2025年3月24日,采用汇集性整合法对结果进行整合。结果:共纳入11篇文献,提炼42个研究主题,归纳为8个类别,综合为4个整合结果:信息与教育支持不足、缺乏心理社会支持与生活适应困难、因沟通障碍及延续性服务缺失产生无助与不确定感、跨越障碍寻找有利的支持体系。结论:肠造口患者在获得医疗服务过程中存在多重体验,医护人员应加大宣教力度,提升患者对疾病的认知水平与自我护理能力,整合多方资源帮助其构建支持体系,不断优化护理模式,减轻其治疗负担。

关键词: 肠造口;医疗服务;体验;质性研究;Meta整合

Abstract: Objective: To conduct a systematic evaluation of qualitative studies on the experience of utilizing medical services among enterostomy patients, so as to provide references for healthcare providers to optimize care strategies. Methods: We systematically searched qualitative studies on enterostomy patients’ experience of utilizing medical services in relevant databases from their inception to March 24, 2025, and adopted integrative synthesis to analyze the results. Results: A total of 11 articles were included to extract 42 themes which could be summarized into 8 categories. Finally, four integrated findings were synthesized, namely insufficient information and educational support, lack of psychosocial support and difficulty in life adaptation, helplessness and uncertainty caused by communication barriers and lack of continuous services, and overcoming obstacles to seek favorable support systems. Conclusion: Enterostomy patients have multiple experiences during the process of utilizing medical services. Therefore, healthcare providers should strengthen health education to improve patients' disease awareness and self-care ability. Moreover, it's necessary to integrate multi-party resources to help patients build a support system and continuously optimize nursing models to alleviate their treatment burden.

Key words: enterostomy; medical service; experience; qualitative research; Meta-synthesis

中图分类号:  R47;R197