慢性肾脏病患者饮食管理体验质性研究的Meta整合
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女,硕士在读,学生

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Meta synthesis of qualitative studies of dietary management in patients with chronic kidney disease
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    目的 深入了解慢性肾脏病患者饮食管理过程的真实体验,以期为慢性肾脏病患者展开针对性的饮食干预提供依据。方法 检索PubMed、Web of Science、EBSCO、ScienceDirect及中国知网、万方数据库、中国生物医学文献数据库等数据库从建库至2020年2月慢性肾脏病患者饮食管理相关的质性研究。根据澳大利亚JBI循证卫生保健中心质性研究质量评价标准进行文献质量评价,采用汇集性整合的方法进行整合。结果 共纳入15篇文献,提炼63个结果,归纳形成9个类别,整合出3个结果,即慢性肾脏病饮食对患者造成的影响(疾病造成的饮食相关症状困扰、情感体验,生活限制和文化冲突)、应对方式(积极应对和消极应对)、需求(需要知识与技能、需要专业人员支持、需要家庭与朋友支持)。结论 慢性肾脏病饮食对患者身心、生活、社交等多方面造成一定影响,医务工作人员在患者饮食管理过程中应该重视患者的应对方式,情感体验与不同需求,针对患者需求,给予患者指导与帮助,以树立患者饮食管理信念,引导患者积极应对,提高慢性肾脏病饮食管理的有效性。

    Abstract:

    Objective To have a deep understanding on the real experience of dietary management in patients with chronic kidney disease (CKD), and to provide basis for dietary intervention tailored to these kind of patients. Methods Qualitative studies on diet management of CKD patients published by February 2020 were retrieved from such databases as PubMed, Web of Science, EBSCO, Science Direct, CNKI, Wanfang Data, and Chinese Biomedical Literature Database. According to the quality evaluation criteria for qualitative research of Australian JBI evidence-based health care center, the quality of different kinds of literature was evaluated, and the results were merged by means of pooled integration. Results A total of 15 publications were included. Sixty-three results were extracted and factored into 9 categories which further converged to form 3 results :the impact of CKD diet on patients (diet-related symptom distress, emotional experiences, life restrictions and cultural conflicts caused by CKD), coping styles (positive and negative coping), and needs (requiring knowledge and skills, professional support, and support from family and friends). Conclusion CKD diet has an impact on patients′ physical, mental, quality of life, and social aspects. Medical staff should pay attention to the patient′s coping styles, emotional experience and different needs, give patients need-based guidance and help, so as to enable them establish belief in diet management, make them foster positive coping styles, and enhance the effectiveness of diet management.

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王露莹,孟露,常立阳,张红梅.慢性肾脏病患者饮食管理体验质性研究的Meta整合[J].护理学杂志,2020,35(20):40-44

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  • 收稿日期:2020-05-27
  • 最后修改日期:2020-07-20
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  • 在线发布日期: 2022-09-06