收稿日期: 2024-12-20
网络出版日期: 2025-08-12
基金资助
山东第一医科大学（山东省医学科学院）教育教学改革研究项目(XM2024106)
Meta-integration of qualitative research on the experience of emergency medical staff caring for self-harm patients
目的 系统评价和整合急诊科医护人员照护自残患者体验的质性研究。方法 计算机检索PubMed、Embase、Web of Science、CINAHL（EBSCO）、Scopus、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，筛选有关急诊科医护人员照护自残患者体验的质性研究，时限从建库至2024年12月31日。对纳入文献进行质量评价，运用汇集性整合方法进行整合。结果 共纳入16篇文献，得到4个整合结果：存在多重情感体验；产生的促进和阻碍因素；采取不同应对策略；照护自残患者的益处体现。结论 应密切关注急诊科医护人员照护自残患者的情感变化，针对性解决照护过程中的阻碍因素，协助医护人员在照护过程中采取不同的应对策略，帮助其体会照护过程中的益处，最终提高急诊科医护人员照护质量，提高自残患者就诊体验，防止患者反复自残甚至自杀。
韩林 , 鞠萍 , 王雪婷 , 杨丽娟 , 孔清洁 , 肖红 , 孟丽红 . 急诊科医护人员照护自残患者体验质性研究的Meta整合[J]. 中华急危重症护理杂志, 2025 , 6(8) : 1003 -1009 . DOI: 10.3761/j.issn.2096-7446.2025.08.019
Objective To systematically evaluate and integrate the qualitative research on the experience of emergency medical staff caring for self-harmed patients. Methods PubMed，Embase，Web of Science，CINAHL （EBSCO），Scopus，Cochrane Library，CNKI，Wanfang，VIP Database，and China Biomedical Database were electroni-cally searched from inception to December 31，2024 to screen qualitative studies on the experience of emergency medical staff caring for patients with self-harm. The quality of the included literature was evaluated and integrated using collective integration method. Results A total of 16 articles were included，and 4 integrated results were obtained. There were multiple emotional experiences，the promoting and hindering factors，taking different coping strategies，and the benefits of caring for self-harm patients. Conclusion It is necessary to pay close attention to the emotional changes of medical staff in emergency department in caring for self-harm patients，to solve the obstacles in the process of care，to assist in adopting different coping strategies in the process of medical care，to help understand the benefits in the process of care，and finally to improve the quality of care of medical staff in emergency department，to improve the experience of self-harm patients，and to prevent patients from repeated self-harm or even suicide.
Key words： Emergency; Self-Harm; Qualitative Research; Evidence-Based Nursing; Meta-Synthesis
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