ICU患者及家属视角下早期康复阻碍因素质性研究的Meta整合

doi:10.3761/j.issn.2096-7446.2023.03.005

Abstract

Abstract: Objective To systematically evaluate and synthesize the barriers of early rehabilitation based on the view of ICU patients and family members. Methods PubMed,Web of Science,Embase,CINAHL,Cochrane Library,CNKI,Wanfang,VIP and SinoMed Database were searched for qualitative studies on early rehabilitation involving ICU patients and their family members from the establishment of database to June,2022. The quality of included literature were assessed using Australian JBI Evidence-Based Health Care Center（2017 edition）Quality Evaluation Standards and the results were integrated by an aggregative approach. Results A total of 13 studies were included,48 findings were refined,7 new categories were formed,and 3 integrated results were obtained. The first integrated result was inadequate understanding of early rehabilitation concepts,knowledge and identity responsibilities among ICU patients and family members. The second integration result was the heavy physical and mental burden of early rehabilitation and the third one was unmet multiple needs of patients and family members. Conclusion There are many barriers of early rehabilitation involving ICU patients and family members. Managers and clinical staff should take measures to address barriers and promote the clinical implementation of early rehabilitation in ICU actively.

Key words: Early Rehabilitation, Intensive Care Units, Patients, Family Members, Obstacles, Qualitative Research, Meta-Synthesis

YANG Xiaowen, WANG Jie, LI Lezhi, ZHANG Xuzhang, WANG Yiya, LI Ning. Barriers of early rehabilitation based on the view of ICU patients and family members：a qualitative meta-synthesis[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(3): 222-228.

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Barriers of early rehabilitation based on the view of ICU patients and family members：a qualitative meta-synthesis

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