ICU护士照护体外膜肺氧合支持患者真实体验的Meta整合

doi:10.3761/j.issn.2096-7446.2025.04.018

摘要/Abstract

摘要：

目的系统评价ICU护士照护体外膜肺氧合（extracorporeal membrane oxygenation，ECMO）支持患者的心理感受和真实体验，为制订针对性干预策略提供参考。方法计算机检索国内外相关数据库中ICU护士照护ECMO支持患者体验的质性研究，检索时限为建库至2024年5月31日。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准（2020版）进行文献质量评价，采用汇集性整合方法对结果进行分析和整合。结果共纳入12篇文献，提炼出44个研究结果，归纳成6个新类别，并综合成3个整合结果：①ICU护士在照护ECMO支持患者时的核心情感反应；②ICU护士照护ECMO支持患者过程中感知的障碍因素；③ICU护士照护ECMO支持患者过程中的应对策略。结论护理管理者应优化多学科团队合作模式和护理支持系统，重视ICU护士在照护ECMO支持患者过程中的情绪体验；制订ECMO照护相关的临床指南和培训计划，为促进ECMO专业发展提供科学、系统的循证依据。

关键词: 体外膜肺氧合, ICU护士, 质性研究, Meta整合, 循证护理研究

Abstract:

Objective To systematically evaluate the psychological feelings and real experiences of ICU nurses caring for extracorporeal membrane oxygenation（ECMO） supported patients，providing references for developing targeted intervention strategies. Methods The qualitative studies on the experiences of ICU nurses caring for ECMO-supported patients were searched from domestic and international relevant databases. The retrieval time was from the inception to May 31th，2024. The quality of the included studies was evaluated using the 2020 version of the Joanna Briggs Institute’s critical appraisal tool for qualitative research. The results were analyzed and integrated using a pooled integration method. Results A total of 12 articles were included，and 44 research results were extracted and summarized into 6 categories. It was integrated into three major themes：core emotional responses of ICU nurses when caring for ECMO patients，perceived barriers in the care process of ECMO patients，coping strategies used by ICU nurses in the care process. Conclusion Nursing managers should optimize the multidisciplinary team collaboration model and nursing support system，pay attention to the emotional experiences of ICU nurses in the process of caring for ECMO patients. Additionally，clinical guidelines and training programs related to ECMO care should be developed to provide scientific and systematic evidence for the promotion of ECMO specialization.

Key words: ECMO, ICU Nurse, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

张楚楚, 张娜, 宫晓艳, 隋伟静, 陈婷, 王凯丽, 庄一渝. ICU护士照护体外膜肺氧合支持患者真实体验的Meta整合[J]. 中华急危重症护理杂志, 2025, 6(4): 480-486.

ZHANG Chuchu, ZHANG Na, GONG Xiaoyan, SUI Weijing, CHEN Ting, WANG Kaili, ZHUANG Yiyu. A meta-synthesis of real experiences of ICU nurses caring for extracorporeal membrane oxygenation supported patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(4): 480-486.

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