摘要
目的:整合相关质性研究,系统评价糖尿病病人足部自我管理过程中的体验和感受。方法:检索PubMed、EMbase、Web of Science、CINAHL、the Cochrane Library及中国生物医学文献数据库、中国知网、万方数据库、维普数据库中从建库至2021年6月30日相关的质性研究。文献质量评价采用澳大利亚JBI循证卫生保健中心(2017)质性研究质量评价标准,采用汇集性整合的方法进行结果整合。结果:共纳入8项研究,提炼出35个完整的研究结果,形成6个新类别、2个整合结果,即糖尿病病人在足部管理过程中承受着诸多压力和负性情绪,但经过不断自我调整,努力适应疾病自我管理;糖尿病病人在足部自我管理中有足够的动力,但仍存在诸多困惑和障碍,渴望得到信息和连续性医疗支持。结论:医疗机构、社会公众及病人家庭应充分重视糖尿病病人足部自我管理过程中的感受和体验,针对病人面临的问题,给予指导和支持,帮助其更好地管理疾病。
Objective:Integrating qualitative researches to systematically evaluate the experience and feelings of foot self management in diabetic patients.Methods:Relevant qualitative researches from the establishment of the database to June 30,2021 were searched from PubMed,EMbase,Web of Science,CINAHL,the Cochrane Library,CBM,CNKI,WanFang Database and VIP.The literature quality was evaluated using the qualitative research quality evaluation standard of JBI Evidence-based Health Care center(2017)in Australia,and the results were integrated by the method of collective integration.Results:A total of 8 studies were included to extract 35 complete research results,6 new categories and 2 integrated results,diabetic patients suffer many stress and negative emotions in the process of foot management,but after continuous self adjustment,they strive to adapt themselves to disease management.Diabetic patients have sufficient motivation in foot self-management,but there are still many confusion and obstacles.They are eager for information and continuous medical support.Conclusion:The medical institutions,the public and the patients′families should pay full attention to the feeling and experience in the process of self-management of diabetic patients,and give guidance and support to the problems faced by patients,so as to help them manage diseases better.
作者
吴佳芸
宁丽
葛华英
杨思
叶林斌
刘海婷
WU Jiayun;NING Li;GE Huaying;YANG Si;YE Linbin;LIU Haiting(School of Nursing,Zhejiang Chinese Medicine University,Zhejiang 310053 China)
出处
《循证护理》
2022年第4期434-440,共7页
Chinese Evidence-Based Nursing
基金
浙江省医药卫生科技计划项目,编号:2021KY233。
关键词
糖尿病
足部护理
自我管理
质性研究
Meta整合
diabetes mellitus
foot care
self-management
qualitative research
Meta-integration
