首页|心力衰竭患者及照顾者左心室辅助装置植入决策体验质性研究的Meta整合

心力衰竭患者及照顾者左心室辅助装置植入决策体验质性研究的Meta整合

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目的 系统整合心力衰竭患者及照顾者左心室辅助装置(left ventricular assist device,LVAD)植入决策体验的质性研究。方法 检索 PubMed、Embase、The Corhrane Library、Web of Science、CINAHL、万方数据、中国知网、维普数据库和中国生物医学文献服务系统中有关LVAD植入决策体验的质性研究,检索时限为建库至2023年12月1日。结果 共纳入10篇文献,提取24个主题,共归纳为9个类别,合并为3个整合结果:LVAD决策思考;LVAD决策影响因素;LVAD决策需求与支持。结论 患者及照顾者在进行LVAD植入决策时决策思考复杂,受多种因素影响,决策需求多样,提示医护人员应积极关注患者及照顾者决策心理,及时干预或疏导,并不断完善决策服务,提升决策服务水平,协助患者做出最佳决策,提高患者生活质量。
A qualitative Meta-synthesis research on the decision-making experience of the heart failure patients and caregivers about left ventricular assist device implantation
Objective To systematically integrate the decision-making experience of left ventricular assist device(LVAD)implantation in patients with heart failure patients and their caregivers.Methods The qualitative research of LVAD implantation decision-making experience in PubMed,Embase,The Corhrane Library,Web of Science,CI-NAHL,Wanfang data,China National Knowledge Network,VIP database and China biomedical literature service system were searched,and the search time was from the establishment of the database to December 1,2023.Results A total of 10 pieces of literature were included,and a total of 24 topics were extracted and summarized into 9 catego-ries,which were combined into 3 integrated results:LVAD decision thoughts,LVAD decision-making-influencing fac-tors,LVAD decision-making needs and support.Conclusion The decision-making thinking of patients and caregivers for LVAD implantation is complex,influenced by many factors,and the decision-making needs are diverse.It is sug-gested that health care providers should pay attention to the decision-making psychology of patients and caregivers,timely intervention or counseling,and constantly improve decision-making services,improve the decision-making service level,assist patients to make the best decision,and improve the quality of life of patients with heart failure.

heart failureleft ventricular assist devicedecision-making experiencequalitative researchmeta-synthesisevidence-based nursing

游宁、李洁琼、张蜜、刘晓云、高雅、汤逸蘋、刘婷、徐潘悦

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陕西中医药大学护理学院,陕西咸阳 712046

西安交通大学第一附属医院,陕西西安 710061

延安大学医学院,陕西延安 716000

心力衰竭 左心室辅助装置 决策体验 质性研究 meta整合 循证护理

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(24)