关键词: 清醒, 俯卧位, 体验, 质性研究, Meta整合

Abstract:

Objective To systematically evaluate the experience of patients maintaining awake prone positioning ventilation，and to provide a reference for the development of targeted intervention programs. Methods We searched CNKI，Wanfang Data，VIP database，China Biomedical Literature Database，PubMed，Embase，The Cochrane Library，Web of Science，PsycNET and CINAHL to screen for qualitative studies on experience of patients who ventilated in awake prone positioning，the retrieval time was from the establishment of the database to September 30，2024. The quality of the literature was evaluated using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute（JBI） Evidence-based Health Care Center in Australia，and the results of the literature were integrated using the pooled integration method in the meta synthesis of the JBI Evidence-based Health Care Center in Australia. Results A total of six studies were included，and 64 themes were distilled and grouped into 13 categories，resulting in five integrated results，including perceived benefits of awake prone ventilation therapy，perceived physical and psychological challenges of awake prone ventilation therapy，barriers affecting the implementation of awake prone ventilation therapy，coping strategies to facilitate the implementation of awake prone ventilation therapy，and internal expectations of awake prone ventilation therapy. Conclusion Healthcare professionals should pay attention to experience and needs of patients with awake prone positioning ventilation，adopt targeted interventions，and improve the treatment process of awake prone positioning ventilation，with to implement higher quality prone positioning ventilation for patients.

Key words: Awake, Prone Position, Experience, Qualitative Research, Meta-Integration