患者参与患者安全知信行质性研究的系统评价

目的 系统评价患者参与患者安全知信行的质性研究,为促进患者参与患者安全管理决策提供依据。方法 计算机检索PubMed、CINAHL、Web of Science、中国知网、万方数据库、维普数据库、中国生物医学文献数据库关于患者参与患者安全知信行的质性研究,检索时限从建库至2019年8月。采用2017版澳大利亚循证卫生保健中心质性研究评价标准（JBI-QARI）进行文献质量评价,采用汇集性整合方法对研究结果进行比较、分析、归纳、诠释和综合。结果 共纳入12项研究,提炼出42个研究结果,综合成为3个整合结果和归纳形成8个新的类别：患者的认知态度、实践的障碍因素和患者的需求期望。结论 医疗机构和医务人员应高度重视患者参与患者安全的组织管理和实践管理,从不同层面全方位地引导患者提高参与认知、增强参与信念及促进参与行动,从而保障患者安全和医疗安全。

Qualitative Study on Knowledge-attitude-practice of Patients' Participation in Patients' Safety: A Systematic Review

Objective To conduct a systematic review of patients' knowledge-attitude-practice in participating in patient safety, and provide basis for promoting patients' participation in patients' safety management. Methods We searched PubMed, CINAHL, Web of Science, CNKI, Wanfang Database, VIP Database and Chinese Biomedical Literature Database for qualitative research on patients' knowledge-attitude-practice in participating in patients' safety. The retrieval time was from the inception of the database to August 2019. After evaluating the quality of literature using the Australian Evidence-based Health Care Center (JBI-QARI, 2017 edition) qualitative research quality evaluation criteria, meta-integration was carried out by using aggregative integration method, and the results were compared, analyzed, summarized, interpreted and synthesized. Results Twelve studies were included, and 42 results were extracted. Eight categories were summarized and integrated into three results including cognitive attitudes towards patients' participation, barriers to patients' participation, and expectations of patients' needs for participation. Conclusion Medical institutions and staffs should attach great importance to the organizational and practical management of patients' participation in patients' safety, and guide patients to improve their participation cognition, belief and action from different perspectives, so as to ensure patients' safety and medical safety.