ICU患者及家属视角下早期康复阻碍因素质性研究的Meta整合

doi:10.3761/j.issn.2096-7446.2023.03.005

摘要/Abstract

摘要： 目的系统评价和整合ICU患者及家属视角下早期康复阻碍因素的质性研究。方法检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中ICU患者及家属参与早期康复的质性研究,检索时限从建库至2022年6月。采用澳大利亚JBI循证卫生保健中心的质性研究质量评价标准（2017版）对纳入文献进行质量评价,采用汇集性整合法整合文献结果。结果共纳入文献13篇,提炼48个结果,总结7个类别,整合成3个结果。整合结果1：患者及家属对早期康复观念、知识和身份职责了解不足;整合结果2：早期康复中的身心负担重;整合结果3：患者及家属的多方面需求未满足。结论 ICU患者及家属早期康复存在多种阻碍因素,管理者和临床医护人员应针对阻碍因素积极地采取措施,推进ICU早期康复的临床实施。

关键词: 早期康复, 重症监护病房, 患者, 家属, 阻碍因素, 质性研究, Meta整合

Abstract: Objective To systematically evaluate and synthesize the barriers of early rehabilitation based on the view of ICU patients and family members. Methods PubMed,Web of Science,Embase,CINAHL,Cochrane Library,CNKI,Wanfang,VIP and SinoMed Database were searched for qualitative studies on early rehabilitation involving ICU patients and their family members from the establishment of database to June,2022. The quality of included literature were assessed using Australian JBI Evidence-Based Health Care Center（2017 edition）Quality Evaluation Standards and the results were integrated by an aggregative approach. Results A total of 13 studies were included,48 findings were refined,7 new categories were formed,and 3 integrated results were obtained. The first integrated result was inadequate understanding of early rehabilitation concepts,knowledge and identity responsibilities among ICU patients and family members. The second integration result was the heavy physical and mental burden of early rehabilitation and the third one was unmet multiple needs of patients and family members. Conclusion There are many barriers of early rehabilitation involving ICU patients and family members. Managers and clinical staff should take measures to address barriers and promote the clinical implementation of early rehabilitation in ICU actively.

Key words: Early Rehabilitation, Intensive Care Units, Patients, Family Members, Obstacles, Qualitative Research, Meta-Synthesis

杨小文, 王洁, 李乐之, 张栩彰, 王祎雅, 李宁. ICU患者及家属视角下早期康复阻碍因素质性研究的Meta整合[J]. 中华急危重症护理杂志, 2023, 4(3): 222-228.

YANG Xiaowen, WANG Jie, LI Lezhi, ZHANG Xuzhang, WANG Yiya, LI Ning. Barriers of early rehabilitation based on the view of ICU patients and family members：a qualitative meta-synthesis[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(3): 222-228.

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