肺癌术后出院患者参与运动康复锻炼体验质性研究的Meta整合

• 作 者: 季华 孙海亮 迟俊涛
• 机 构: 烟台毓璜顶医院胸外科，烟台 264000;烟台毓璜顶医院护理部，烟台 264000
• 出 处: 中华现代护理杂志
• 发表日期: 2022年12期
• 关键词: Lung neoplasms Surgical procedures Exercise rehabilitation Qualitative research

目的:系统评价肺癌术后出院患者参与运动康复体验的质性研究，为制订干预策略提供理论依据。方法:计算机检索PubMed、Embase、CINAHL、Web of Science、APA PsycInfo、中国知网、万方数据库、维普网等中英文数据库收录的关于肺癌术后出院患者参与运动康复锻炼体验的质性研究，检索时限为建库至2021年9月20日。采用澳大利亚Joanna Briggs Institute（JBI）循证卫生保健中心（2016）质性研究质量评价标准评价文献质量，采用汇集性整合方法对结果进行整合分析。结果:共纳入8篇文献，提炼出49个研究结果，归纳成8个新的类别，进一步综合形成4个整合结果，分别为：肺癌术后出院患者参与运动康复锻炼的障碍因素、肺癌术后出院患者参与运动康复锻炼的促进因素、患者感受到的获益、患者对运动康复项目设计的观点与建议。结论:肺癌术后出院患者参与运动康复锻炼受多种因素影响，医务人员在制订运动康复项目时应根据患者参与运动康复锻炼的障碍因素及促进因素，结合患者对运动康复实施的态度及观点，制订符合患者个性化的运动康复项目。“,”Objective:To systematically review the qualitative researches on the experience of exercise rehabilitation in discharged patients after lung cancer surgery, so as to provide a theoretical basis for the formulation of intervention strategies.Methods:Qualitative researches on the experience of exercise rehabilitation in discharged patients after lung cancer surgery was retrieved by computer in Chinese and English databases such as PubMed, Embase, CINAHL, Web of Science, APA PsycInfo, China National Knowledge Infrastructure, WanFang Data, and VIP. The retrieval time limit was from the establishment of the database to September 20, 2021. The quality of the article was evaluated using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center (2016) in Australia. The results were analyzed by pooled synthesis method.Results:A total of 8 articles were included, and 49 research results were extracted. The results were grouped into 8 new categories, which were further integrated into 4 integrated results, namely, obstacles for discharged patients after lung cancer surgery to participate in exercise rehabilitation, facilitators for discharged patients after lung cancer surgery to participate in exercise rehabilitation, benefits felt by the patients, patients\' opinions and suggestions on exercise rehabilitation program design.Conclusions:The participation of exercise rehabilitation in discharged patients after lung cancer surgery is affected by many factors. When formulating exercise rehabilitation program, medical and nursing staff should formulate exercise rehabilitation program that meets the individual needs of patients according to the obstacles and facilitators of patients participating in exercise rehabilitation, combined with the patients\' attitudes and opinions on the implementation of exercise rehabilitation.