卒中后疲劳患者疲劳体验质性研究的Meta整合
Meta-integration of Qualitative Research on Fatigue Experience in Patients with Post-stroke Fatigue
王晓萱 1张振香 1赵志欣 1江湖 1王佳佳 2林蓓蕾 1王文娜 1陈素艳1
作者信息
- 1. 450001 河南省郑州市,郑州大学护理与健康学院
- 2. 450052 河南省郑州市,郑州大学第三附属医院重症医学科
- 折叠
摘要
背景 既往研究显示,脑卒中患者卒中后疲劳(PSF)发生率高达 25%～85%,持续不断的疲乏感严重影响患者日常生活和康复进程,因此亟需了解此类患者的心理体验和需求,但既往已进行的单一的质性研究结果可能不具有代表性.目的 系统评价和整合卒中后疲劳患者疲劳体验的质性研究,为构建PSF患者疲劳管理策略提供依据.方法 计算机检索PsycINFO、PubMed、Web of Science、CINAHL、Cochrane Library、Scopus、澳大利亚安娜布里格斯研究所(JBI)循证卫生保健数据库及中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库,搜集与PSF患者疲劳体验相关的质性研究.检索时限为建库至 2023-07-05.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(2016)进行质量评价,并采用汇集性整合的方法进行Meta整合.结果 共纳入 10 篇文献,提炼出 22个主要结果,归纳为 8 个类别,综合为 4 个整合结果:对PSF的认知严重匮乏;存在错综复杂的负性身心体验;PSF的自我调适方式多样;存在多种PSF康复需求.结论 PSF患者对疲劳认知不足且存在明显负性身心体验,因此应早期识别和筛查PSF患者,强化对患者的疲劳教育并为其制订个性化疲劳管理策略,同时应重视发挥社区和家庭在PSF患者疲劳管理中的作用,使其与医护人员一同为PSF患者提供良好的康复环境.
Abstract
Background Previous studies have found that 25%-85%of stroke patients develop post-stroke fatigue(PSF),and continuous feeling of fatigue seriously affects patients'daily life and rehabilitation process.Therefore,it is urgent to understand the psychological experience and needs of such patients.However,the results of previous single qualitative studies may not be representative.Objective To systematically review and integrate qualitative studies on the fatigue experience of patients with PSF,so as to provide a reference for the construction of management strategies for PSF patients.Methods PsycINFO,PubMed,Web of Science,CINAHL,Cochrane Library,Scopus,Joanna Briggs Institute(JBI)Evidence-Based Health Care database,CNKI,Wanfang Data,VIP,CBM were searched by computer to screen qualitative studies on fatigue experience of patients with PSF from inception to July 5,2023.JBI Critical Appraisal Tool for qualitative studies in Australia was used to evaluate the quality of included literature,and Meta-synthesis was performed to integrate results.Results A total of 10 papers were included,and 22 primary outcomes were distilled,grouped into 8 categories,and synthesized into 4 integrated outcomes,including significant lack of cognition of PSF;intricate negative physical and psychological experience;different self-regulation of PSF and multiple needs for PSF rehabilitation.Conclusion PSF patients have insufficient cognition of fatigue with significant negative physical and psychological experience.Therefore,PSF patients should be identified and screened at an early stage with strengthened fatigue education and personalized fatigue management strategies.Emphasis should also be placed on the role of community and family in the management of fatigue,so that they can work together with healthcare professionals to provide a favorable rehabilitation environment for PSF patients.
关键词
卒中/卒中后疲劳/体验/应对方式/需求/质性研究/Meta整合Key words
Stroke/Post-stroke fatigue/Experience/Coping style/Needs/Qualitative research/Meta-integration引用本文复制引用
基金项目
国家自然科学基金青年科学基金(72104221)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据