中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (09): 673-677.doi: 10.3969/j.issn.1671-4091.2024.09.008

• 临床研究 • 上一篇    下一篇

血液透析患者疲劳体验及管理质性研究的Meta整合

敖 漫    姚瑞山    王惠明    杨莲花   卜文夺   边婷婷    陈园园    万 佳   

  1. 430060 武汉， 1武汉大学人民医院肾内科
    430022 武汉，2华中科技大学同济医学院附属协和医院重症医学科
  • 收稿日期:2024-01-15 修回日期:2024-06-10 出版日期:2024-09-12 发布日期:2024-09-12
  • 通讯作者: 姚瑞山 E-mail:yaoruishan101@163.com
  • 基金资助:
    国自然科学基金(82270711)；湖北省微循环协会科研资助[HBWXH2021(1)-2]

Meta integration of qualitative research on fatigue experience and self-management in hemodialysis patients

AO Man, YAO Rui-shan, WANG Hui-ming, YANG Lian-hua, BU Wen-duo, BIAN Ting-ting, CHEN Yuan-yuan, WAN Jia   

  1. Departmment of Nephrology, Renming Hospital of Wuhan University, Wuhan 430060, China; 2Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2024-01-15 Revised:2024-06-10 Online:2024-09-12 Published:2024-09-12
  • Contact: 430022 武汉，2华中科技大学同济医学院附属协和医院重症医学科 E-mail:yaoruishan101@163.com

PDF

12

摘要： 目的 系统评价与整合血液透析患者疲劳体验及管理的质性研究。 方法 计算机检索Cochrane Library、Web of Science、PubMed、CINAHL、Embase、Scopus、CBM、知网、万方、维普数据库建库至2023年12月发表的关于血液透析患者疲劳体验或管理的质性研究，采用汇集性整合方法对结果进行Meta整合。 结果 共纳入9篇文献，提炼出38个结果，形成10个类别，汇总成4个整合结果：血液透析患者对疲劳的认知、疲劳产生的影响、患者自我管理策略、疲劳管理需求及挑战。 结论 血液透析患者疲劳管理存在认知缺乏、负性情绪影响、自我管理策略不全面、干预措施不精准等障碍，医疗机构应构建多样化管理策略并提供全面支持，完善患者自我管理策略，延长血液透析患者生存周期并提高其生活质量。

关键词: 血液透析, 疲劳, 体验, 管理, 质性研究

Abstract: Objective  To systematically evaluate and integrate the qualitative studies on fatigue experience and management in hemodialysis patients.  Methods   Cochrane Library, Web of Science, PubMed, CINAHL, Embase, Scopus, CBM, CNKI, Wanfang, and VIP databases were searched for qualitative studies on the experience and management of fatigue in hemodialysis patients from their inception to December 2023.  Results  A total of 9 articles were included, 38 results were extracted, 10 categories were formed, and 4 integrated results were summarized: hemodialysis patients' cognition of fatigue, the impact of fatigue, patient self-management strategies, fatigue management needs and challenges.   Conclusion  There are obstacles in the management of fatigue in hemodialysis patients, such as cognitive deficiency, negative emotional influence, incomplete self-management strategies, and imprecise interventions. Medical institutions should build diversified management strategies and provide comprehensive support to improve self-management strategies, survival cycle, and quality of life in hemodialysis patients.

Key words: Hemodialysis; , Fatigue; , Experience; , Management; , Qualitative research

中图分类号: