护理SCI晨读：患者的谵妄体验：定性研究的系统综述和整合
谵妄通常被认为是一种整体困扰状态，即使出院后也会伴随并影响患者。
患者的谵妄体验：定性研究的系统综述和整合
分享智慧
共同成长
摘要
目的
本系统综述和汇总整合的目的是汇总有关患者谵妄体验的定性文献，以支持开发和实施以患者为中心的谵妄管理并指导未来的研究。
设计
我们对1980年1月至2019年6月发表的定性研究进行了系统的文献综述。
数据源
2019年6月，在Medline，CINAHL，SSCI和PsycInfo中进行检索以识别相关报告。此外，在三个学位论文数据库（BASE，DART和ProQuest）和Google Scholar中进行了检索。
审查方法
我们使用Sandelowski和Barroso开发的方法，通过从报告中提取结果，将其抽象为整合结果并计算其明显的研究频次效应大小，来构建meta整合结果。
结果
在742篇文献中，有24篇报告483位患者谵妄体验的研究符合纳入标准，被纳入分析中。从这些报告中提取了197个结果，并将其抽象为92个整合结果。这些主题分为五个新出现的主题：“感知”，“情感”，“与他人互动”，“应对谵妄”和“对未来生活的影响”。
结论
谵妄通常被认为是一种整体困扰状态，即使出院后也会伴随并影响患者。
影响
这项系统综述和整合研究是迄今为止对患者谵妄体验定性研究的最全面汇总。通过计算其明显的频率影响大小，它可以使我们更好地理解，从中提取含义并权衡定性结果。这可以用来支持谵妄管理概念的开发和实施。
Abstract
Aims
The purpose of this systematic review and meta-summary was the aggregation of the empirical qualitative literature on patients’ experiences of delirium in order to support the development and implementation of patient-oriented delirium management and to guide future research.
Design
We conducted a systematic literature review of qualitative research published between January 1980 and June 2019.
Data sources
In June 2019, we searched in Medline, CINAHL, SSCI and PsycInfo to identify relevant reports. In addition, we conducted searches in three dissertation databases (BASE, DART and ProQuest) and Google Scholar.
Review methods
We used methods developed by Sandelowski and Barroso to construct a meta-summary of the findings by extracting them from the reports, abstracting them into meta- findings and calculating their manifest interstudy frequency effect sizes.
Results
Out of the 742 identified records, 24 reports based on delirium experience accounts of 483 patients met our criteria and were included. One thousand ninety-seven findings were extracted from these reports and abstracted into 92 meta-findings. These were grouped to the five emerging themes ‘perception’, ‘emotions’, ‘interaction with others’, ‘dealing with delirium’ and ‘influence on further life’.
Conclusion
Delirium is commonly perceived as an overall distressing condition, which can accompany and influence patients even after hospital discharge.
Impact
This systematic review and meta-summary is the most comprehensive aggregation of qualitative research of the patient delirium experience to date. It allows us to better understand, extract meaning from, and weigh the qualitative findings in their context by calculating their manifest frequency effect sizes. This can be used to support the development and implementation of delirium management concepts.
原文链接：
https://onlinelibrary.wiley.com/doi/full/10.1111/jan.14865
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