摘要
目的:整合膀胱癌根治术后尿路造口患者真实体验的质性研究,以全面了解患者存在的问题及需求,为该类患者制定有针对性的干预策略提供参考。方法:计算机检索中文及英文数据库中关于膀胱癌根治术后尿路造口患者真实体验的质性研究,检索时限为建库至2023年12月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准(2020版)评价文献质量,运用汇集性整合方法对结果进行整合。结果:共纳入12篇文献,提炼出61个研究结果,归纳出10个类别,最终综合出以下4个整合结果。难以适应术后身体及生活方式的改变,心理问题突出;术后生理功能的改变导致生活质量的下降;术后自我护理能力不足,渴望完善的延续护理指导;创伤后成长,在多方的社会支持下,实现生活重建。结论:医护人员应充分了解患者术后体验及需求,推动社会保障体系的完善,为患者提供长期、全面的专业指导及延续护理服务,以提高患者术后生活质量。
Objective:To integrate the qualitative research about the real experience with ileal conduit after radical cystectomy among patients with bladder cancer,fully understand the patient's problems and needs,and provide implications for formulating specific intervention strategies of urostomy patients.Methods:The qualitative studies on real experience for ileal conduit after radical cystectomy among patients with bladder cancer were systematically searched,evaluated,and extracted from the Chinese and English databases according to the inclusion criteria.The retrieval time limit is from the inception to March 2023.The literature quality was evaluated by the Quality Evaluation Standard for Qualitative Research of Evidence Based Health Care Center of Joanna Briggs Institute in Australia(2020),and the Meta integration method was used to integrate the results.Results:A total of 12 studies,consisting of 61 research results were included.A total of 10 new categories,4 comprehensive results were finally integrated,including Psychological problems as hard to adapt to the changes in body and lifestyle after surgery;Decreased quality of life due to changes in physiological function after surgery;Insufficient postoperative self-care ability and eagerness of professional continuing care guidance;Social support for life reconstruction from multiple resources as patient has post-traumatic growth.Conclusion:To improve the quality of life of patients after operation,the health care professionals should fully understand the postoperative experience and needs of patients promote the medical security system,and provide patients with long-term,comprehensive professional guidance and continuous care services.
作者
华小玲
高梦昕
陈媛
蔡超
刘永达
孙红玲
HUA Xiaoling;GAO Mengxin;CHEN Yuan;CAI Chao;LIU Yongda;SUN Hongling(Graduate school,Guangzhou Medical University,Guangzhou,510180,China)
出处
《中国护理管理》
CSCD
北大核心
2024年第5期696-702,共7页
Chinese Nursing Management
基金
广州市青年医学创新实践研究计划(肿瘤领域)(2023QNYXZD001)。
作者简介
第一作者:华小玲,硕士在读,主管护师;通信作者:孙红玲,本科,主任护师,护理部主任,E-mail:haiyinshoushushi@sina.cn。
