院前疼痛管理影响因素质性研究的Meta整合

doi:10.3761/j.issn.2096-7446.2024.10.007

摘要/Abstract

摘要： 目的系统评价急救人员和患者对院前疼痛管理的态度和体验,识别院前疼痛管理的影响因素,为制订改善措施提供参考。方法检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、中国知网、万方数据库和中国生物医学文献数据库中关于院前急救人员和患者疼痛管理的质性研究文献,检索时限均为建库至2023年5月31日。采用澳大利亚乔安娜布里格斯研究所（Joanna Briggs Institute,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,运用Meta整合方法整合研究结果。结果共纳入22篇文献,提炼出70个研究结果,归纳为15个类别,整合为5个结果：急救人员因素、组织因素、患者因素、环境因素、镇痛资源匮乏。结论院前疼痛管理影响因素涉及多维度、多层面,需综合急救人员、组织、患者、环境、镇痛资源等因素,多举措并行改善院前疼痛管理。

关键词: 急救医疗服务, 疼痛管理, 质性研究, 循证护理学, Meta整合

Abstract: Objective To systematically evaluate the attitudes and experiences of paramedics and patients towards pre-hospital pain management,identify the influencing factors,and provide references for formulating improvement measures. Methods The PubMed,Embase,CINAHL,Web of Science,Cochrane Library,CNKI,Wanfang and CBM were searched to retrieve the qualitative studies on pain management of paramedics and patients. The search limit was from the inception of each database until May 31,2023. The quality of included literature was evaluated according to the Joanna Briggs Institute（JBI） Quality Evaluation Criteria for Quality Research in Evidence-Based Health Care Centers. Meta-integration was employed to integrate the research results. Results A total of 70 research findings were extracted from 22 literature sources and categorized into 15 categories. Five synthesis results were summarized,including paramedics‘ factors,organizational factors,patients‘ factors,environmental factors,and scarcity of analgesic resources. Conclusion The influencing factors of prehospital pain management involve multiple dimensions and levels. It is necessary to comprehensively consider various factors such as paramedics,organizations,patients,environment,and analgesic resources in order to develop effective strategies for improving pre-hospital pain management.

Key words: Emergency Medical Services, Pain Management, Qualitative Research, Evidence-Based Nursing, Meta-Synthesis

何国宝, 樊落, 吉莉, 景晨阳, 汪托红, 汪袁云子, 李贝贝, 陈闪, 刘路玲. 院前疼痛管理影响因素质性研究的Meta整合[J]. 中华急危重症护理杂志, 2024, 5(10): 907-913.

HE Guobao, FAN Luo, JI Li, JING Chenyang, WANG Tuohong, WANGYUAN Yunzi, LI Beibei, CHEN Shan, LIU Luling. The influencing factors of prehospital pain management：a qualitative meta-synthesis[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(10): 907-913.

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