摘要
目的 系统评价和整合医疗保健人员对衰弱管理的认知及体验的质性研究,为推动国内衰弱管理的临床实践提供参考.方法 检索PubMed、Web of Science、CINAHL、Embase、Cochrane Library PsycINFO、Ovid、中国生物医学文献数据库、中国知网、万方数据库和维普网等中关于医疗保健人员对实施衰弱管理的认知及体验的质性研究.检索时限均为建库至2023年7月1日.根据澳大利亚JBI循证卫生保健中心的质性研究质量评价标准(2016版)评价文献质量,采用汇集性整合法进行Meta整合.结果 共纳入13篇文献,提炼出42个研究结果,归纳成9个类别,最终汇总成医疗保健人员对实施衰弱管理的认知、益处感知、面临的现实困境、教育培训需求4个整合结果.结论 医疗机构管理者应重视医疗保健人员实施衰弱管理的诸多困难与需求,积极落实医疗政策,强化认知,开展规范化培训,保障衰弱管理的顺利实施.
Abstract
Objective To systematically evaluate and integrate the qualitative study of healthcare workers'cognition and experience in frailty management,providing reference for promoting clinical practice of frailty management in China.Methods Qualitative studies on the cognition and experience of healthcare workers in implementing frailty management were searched on PubMed,Web of Science,CINAHL,Embase,Cochrane Library,PsycINFO,Ovid,China Biology Medicine disc,China National Knowledge Infrastructure,WanFang Data,and VIP.The search period was from database establishment to July 1,2023.The quality of literature was evaluated according to the quality evaluation criteria for qualitative study of the Joanna Briggs Institute Evidence-based Health Care Center(2016).The aggregation integration method was used for Meta-synthesis.Results A total of 13 articles were included,42 research results were extracted,categorized into nine categories,and finally summarized into four integrated results of healthcare workers'cognition,benefit perception,practical difficulties,and educational and training needs in implementing frailty management.Conclusions Medical institution managers should pay attention to the many difficulties and needs of implementing frailty management among healthcare workers,actively implement medical policies,strengthen awareness,conduct standardized training,and ensure the smooth implementation of frailty management.
维普
万方数据