摘要
目的系统评价安宁疗护家庭照顾者在医院-家庭过渡期的照护体验。方法计算机检索PubMed、Web of Science、Cochrane Library、Embase、CINAHL、PsycINFO、SinoMed、中国知网、维普网、万方数据库中关于安宁疗护家庭照顾者医院-家庭过渡期照护体验的质性研究,检索时限均为建库至2024年11月25日。采用乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准(2016版)评价纳入文献质量,采用汇集性整合法进行结果整合与归纳。结果共纳入10篇文献,提炼出33个主要的研究结果,归纳为9个新类别,合并为过渡期间滋生身心困扰、过渡期间面临多重挑战与困境、过渡期间多维度支持需求、积极应对并获得成长4个整合结果。结论安宁疗护家庭照顾者在医院-家庭过渡期间存在复杂的身心变化、多重挑战以及多元照护需求。医护人员应重视安宁疗护家庭照顾者医院-家庭过渡期的照护体验和真实需求,以帮助安宁疗护家庭照顾者实现从医院到家庭的成功过渡。
Objective To systematically evaluate the transitional care experience of family caregivers in palliative care from hospital to home.Methods A computer-based search was conducted in PubMed,Web of Science,Cochrane Library,Embase,CINAHL,PsycINFO,SinoMed,China National Knowledge Infrastructure,VIP,and Wanfang Data for qualitative studies on the transitional care experience of family caregivers in palliative care,from database inception to November 25,2024.The quality of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research(2016 edition).Data were synthesized and integrated using meta-aggregation.Results A total of 10 studies were included,from which 33 primary findings were extracted.These findings were classified into nine new categories and further synthesized into four overarching themes:development and exacerbation of physical and psychological distress during the transition,multiple challenges and dilemmas during the transition,multidimensional support needs during the transition,and positive coping and personal growth.Conclusions Family caregivers in palliative care experience complex physical and psychological changes,multiple challenges,and diverse care needs during the hospital-to-home transition.Healthcare professionals should pay close attention to the lived experiences and actual needs of family caregivers during this period,so as to facilitate a successful transition from hospital to home.
作者
靖杰
徐雅楠
李沫晗
武丽桂
朱秋晨
袁玲
Jing Jie;Xu Yanan;Li Mohan;Wu Ligui;Zhu Qiuchen;Yuan Ling(Department of Oncology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China;Department of Nursing,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)
出处
《中华现代护理杂志》
2025年第29期3952-3959,共8页
Chinese Journal of Modern Nursing
基金
江苏省老年健康科研项目(LKZ2022014)
南京市卫生科技发展专项资金项目(YKK24080)
南京鼓楼医院护理科研重点项目(2024-A1656)。
