目的 系统评价重症监护病房(intensive care unit，ICU)医务人员实施早期康复活动阻碍因素的质性研究，为ICU早期康复的开展提供依据。方法 检索 PubMed、Web of Science、Embase、Medline、Cochrane Library、CINAHL、中国知网、万方、维普、SinoMed等数据库中关于ICU医务人员实施早期康复活动体验的质性研究。检索时限从建库至2023年4月。采用汇集性整合法进行Meta整合。结果 共纳入13篇文献，提取27个结果，归纳9个类别，3个整合结果:人员观念因素;实践因素;资源及管理因素。结论 诸多因素阻碍ICU医务人员早期康复活动的实施，未来应提高患者康复认知，构建个性化循证康复方案，统筹多学科团队协作及培训模式，合理增补资源及分配。
Barriers of Early Rehabilitation Activities of ICU Medical Staff:A Meta-Synthesis of Qualitative Research
Objective To systematically evaluate the qualitative research on the obstacles of early rehabili-tation activities for ICU medical staff,and to provide scientific basis for early rehabilitation in ICU.Meth-ods The databases of PubMed,Web of Science,Embase,Medline,Cochrane Library,CINAHL,CNKI,Wanfang,VIP and SinoMed were searched to retrieve qualitative research on ICU medical staff's experi-ence of early rehabilitation activities.The retrieval time frame is from inception to April 2023.A Meta-syn-thesis was carried out using an aggregative integration method.Results A total of 13 articles were includ-ed and 27 results were extracted.These results were summarized into 9 categories and 3 themes.The 3 themes were personnel concept factor,practical factor and resource and management factor.Conclusions Many factors hinder the implementation of early rehabilitation activities among ICU medical staff.In the future,patients'rehabilitation cognition should be improved;personalized evidence-based rehabilitation programs should be constructed;and multidisciplinary teamwork and training models should be coordina-ted;and resources should be reasonably supplemented and allocated.
万方数据
维普
