天津护理 ›› 2023, Vol. 31 ›› Issue (6): 690-695.DOI: 10.3969/j.issn.1006-9143.2023.06.013

所属专题: 循证护理

• 循证护理 • 上一篇    下一篇

癫痫患儿主要照顾者照护体验质性研究的 Meta 整合

赵丹娜 1 于明珠 1 杨艾影 2   

  1. ( 1. 安徽中医药大学,安徽 合肥 230012 ; 2. 安徽中医药大学第一附属医院)
  • 出版日期:2023-12-28 发布日期:2023-12-30

Care experience of the primary caregiver of children with epilepsy:a study  of qualitative Meta-synthesis

ZHAO Danna 1 , YU Mingzhu 1 , YANG Aiying 2   

  1. (1. School of Nursing, Anhui University of Traditional Chinese Medicine, Hefei Anhui 230012; 2.The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine)
  • Online:2023-12-28 Published:2023-12-30

摘要: 目的: 系统评价癫痫患儿主要照顾者的照护体验, 为制定符合照顾者需求的患儿照顾计划提供依据。 方法: 检索 PubMed 、 Embase 、 theCochraneLibrary 、中国知网、万方等多个数据库,检索时限为建库至 2022 年 4 月 14 日。 采用澳大利亚 JBI 的质量评价标准( 2016 )和汇集性整合方法分别对文献进行质量评价和结果整合。 结果:共纳入 16 篇文献,提炼出 65 个结果,归纳出 11 个新类别,合成 3 个整合结果。 ① 疾病负面特性及照顾者巨大的身心压力,对家庭功能和日常生活产生影响,促使照顾者对患儿过度保护,价值观也发生转变; ② 照顾者需要家庭成员支持,对疾病和照护知识了解有限,渴望得到社会和医疗支持; ③ 照顾者积极进行自我调整以应对疾病,从疾病照护中获得成长。 结论:医护人员要重视癫痫患儿照顾者的照护需求及心理体验,提供多方位的支持, 协助其扮演好照顾者这一角色,保障患儿健康成长。

关键词: 主要照顾者, 照护体验, 质性研究, Meta 整合

Abstract: Objective: To systematically evaluate the care experience of the primary caregivers of children with epilepsy, and to improve the basis for making care plans that meet the needs of caregivers. Methods: PubMed, Embase, the Cochrane Library, CNKI, Wanfang and other databases were searched from inception of databases to April 14, 2022. The Australian JBI quality evaluation standard(2016) and the aggregative integration method were used to evaluate the literature quality and integrate the results. Results: A total of 16 literatures were included, 65 results were extracted, 11 new categories were summarized, and 3 integrated results were synthesized. Integration outcome 1 was the negative characteristics of the disease and the enormous physical and mental pressure of caregivers which had an impact on family functions and daily life, and promoted caregivers to over-protect their children and changed their values; Integration outcome 2 was that caregivers needed support from family members, had limited knowledge of disease and care, and craved social and medical support; Integration outcome 3 was that caregivers actively adjusted themselves to cope with illness and grew from illness care. Conclusion: Medical staffs should pay attention to the care needs and psychological experience of caregivers of epileptic children, provide multi-directional support, assist them to play the role of caregivers, and ensure the healthy growth of children.

Key words: Epilepsy, Primary caregiver, Care experience, Qualitative research, Meta-analysis