社区老年人跌倒预防自我管理体验的Meta整合
A meta-synthesis of qualitative research on the experience of falls prevention self-management in community-dwelling older people
田文雯 1李善玲 2李维果3
作者信息
- 1. 华中科技大学同济医学院附属梨园医院护理部(湖北武汉,430077);华中科技大学同济医学院护理学院
- 2. 华中科技大学同济医学院附属梨园医院护理部(湖北武汉,430077)
- 3. 华中科技大学同济医学院附属梨园医院骨科(湖北武汉,430077)
- 折叠
摘要
目的 了解社区老年人跌倒预防自我管理的真实体验,为开展针对性跌倒自我管理干预提供依据.方法 文献检索中英文数据库中有关老年人跌倒自我管理体验和经历的质性研究,检索时限从建库至2023年8月1日.采用澳大利亚JBI循证卫生保健中心对质性研究质量评价标准评价文献,依据主题分析法对符合评价标准的质性研究进行Meta整合.结果 共纳入8篇文献,提炼34个结果,归纳形成11个类别,整合成4个研究结果,即复杂的情绪和行为、跌倒预防自我管理行为促进因素、跌倒预防自我管理面临的阻碍、心理支持和专业医疗支持需求.结论 社区老年人在跌倒预防自我管理过程中面临复杂的情绪行为以及困难和挑战,医护人员需关注其应对方式、内心体验和需求,完善医疗和社会支持系统,促进社区老年人跌倒预防自我管理行为.
Abstract
Objective To understand the experience of falls prevention self-management in community-dwelling older people,and provide a basis for carrying out targeted falls self-management intervention.Methods Literature search of English and Chinese data-bases for qualitative studies on older people's experiences of falls self-management,with a search time frame from database crea-tion to 1 August 2023.The JBI quality evaluation standards for qualitative research were used to evaluate the literature,and quali-tative studies that met the evaluation standards were meta-integrated based on thematic analysis.Results A total of 8 studies were included.Thirty-four results were extracted,and summarized into 11 categories,and 4 research results were integrated:complex emotions and behaviors;facilitators of self-management behaviors for fall prevention;obstacles to self-management for fall pre-vention;psychological support and professional medical needs.Conclusion Community-dwelling older people have emotions and be-haviors,and are faced with difficulties and challenges in the process of self-management for fall prevention.Medical staff should pay attention to their coping styles,inner experiences and needs,improve the medical and social support system,and promote self-management behaviors for fall prevention among the elderly in the community.
关键词
老年人/社区/跌倒预防/自我管理/心理支持/情绪/质性研究/Meta整合Key words
the elderly/community/fall prevention/self-management/psychological support/emotion/qualitative re-search/meta integration引用本文复制引用
出版年
2024
NETL
NSTL
万方数据