家属对ICU患者转出体验的Meta整合

目的系统评价ICU患者转出时家属内心体验的质性研究,为制订符合我国有效的ICU患者转出干预策略提供参考。方法计算机检索PubMed、CINAHL、The Cochrane Library、EMbase、Ovid及中国生物医学数据库、中国知网、维普、万方数据库中所收录的关于ICU患者转出时家属内心体验的质性研究,检索时间均从建库至2019年6月,采用澳大利亚JBI循证卫生保健中心质性研究论文质量评价标准进行文献质量评价,采取汇集性整合的方法进行Meta整合。结果共纳入12项研究,提炼74个研究结果,归纳形成10个新类别,合成3个整合结果:转出情感体验,感知转出改变事件,以及转出需求。结论家属在患者转出过程中存在心理压力,救治患者同时,也应关注家庭照顾者,通过为其提供连续性的护理服务等措施,使家属成为患者治疗康复中重要的支持力量。

Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis

Objective To systematically evaluate qualitative studies on psychological experience of ICU patients' family members during ICU transfer, and to provide reference for formulating effective ICU transfer strategies in line with China's national condition. Methods We searched databases including PubMed, CINAHL, The Cochrane Library, EMbase, Ovid and Chinese biomedical database (CBM), CNKI, VIP and Wanfang from the inception to June 2019, to collect qualitative studies on psychological experience of family members during patients' transfer from ICU. Quality evaluation standard of qualitative research papers in Australian JBI evidence-based health care center was used to evaluate the quality, and the meta-integration method for meta-integration. Results Twelve studies were enrolled with 74 results,10 new categories and 3 integrated results including transferring emotional experience; perceiving change events during transfer and transfer demand. Conclusion Family members have psychological pressure in the process of the patient's transfer. In addition to treating the patients, more attention should go to family caregivers. Positive and healthy guidance is helpful for family members to play an important support role in the treatment and rehabilitation of the patients.