收稿日期: 2024-12-13
网络出版日期: 2025-07-04
基金资助
南通大学校级科研基金临床医学专项资助项目(2024LQ010)
Experience of patients ventilated in awake prone positioning:a qualitative Meta-synthesis
目的 系统评价清醒俯卧位通气患者内心体验,为针对性干预方案的制订提供参考依据。 方法 计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Embase、Cochrane Library、Web of Science、PsycNET及CINAHL数据库,筛选有关清醒俯卧位通气患者内心体验的质性研究,检索时限为建库至2024年9月30日。采用澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心的质性研究质量评价标准对文献进行质量评价,采用JBI的Meta整合中的汇集性整合法整合文献结果。 结果 共纳入6篇文献,提炼出64个主题,归纳为13个类别,最终形成5个整合结果:感知清醒俯卧位通气治疗的益处;感知清醒俯卧位通气治疗的身心挑战;影响清醒俯卧位通气治疗实施的障碍;促进清醒俯卧位通气治疗实施的应对策略;对清醒俯卧位通气治疗的内心期待。 结论 医护人员应重视清醒俯卧位通气患者内心体验及需求,采取针对性干预措施,完善清醒俯卧位通气治疗流程,为患者实施更高质量的俯卧位通气。
朱伟 , 何伯圣 , 黄向东 , 吴怡雨 , 袁凌峰 , 刘瑞红 . 清醒俯卧位通气患者内心体验质性研究的Meta整合[J]. 中华急危重症护理杂志, 2025 , 6(7) : 819 -825 . DOI: 10.3761/j.issn.2096-7446.2025.07.008
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
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