慢性病患者中医传统功法康复训练促进与 阻碍因素的Meta整合
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女,硕士在读,学生

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国家自然科学基金项目(82072553)


Meta-synthesis of facilitators and barriers of traditional Chinese medicine exercise rehabilitation training in patients with non-communicable chronic diseases
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    摘要:

    目的 系统评价并整合慢性病患者中医传统功法康复训练的促进与阻碍因素的质性研究,为制订干预策略提供理论依据。方法 系统检索中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库、Cochrane Library、Web of Science、PubMed、Embase中有关慢性病患者中医传统功法康复训练的促进与阻碍因素的质性研究,检索时限均为建库至2024年5月,采用JBI循证卫生中心的质性研究真实性评价工具(2016版)对文献质量进行评价,采用汇集性整合方法对结果进行分析。结果 共纳入8篇文献,提炼出56个结果,归纳为10个新类别,综合成2个整合结果:促进因素包括对中医传统功法康复训练的好奇心、感知的身心益处、感知的健康威胁、良好的社会支持、干预因素(中医传统功法康复训练的优势及教学方式);阻碍因素包括缺乏意志力、疾病和治疗因素的影响、对运动风险的担忧、缺乏练习的条件、干预因素(动作的挑战性及线上/小组教学的弊端)。结论 慢性病患者中医传统功法康复训练受多种因素影响,医务人员应根据相关因素,结合患者对中医传统功法康复训练的态度及观点,制订符合患者的中医传统功法康复训练的干预措施。

    Abstract:

    Objective To systematically evaluate and integrate factors that facilitate and hinder Traditional Chinese Medicine exercise rehabilitation training in patients with non-communicable chronic diseases (NCD), and to provide a theoretical basis for the deve-lopment of intervention strategies. Methods Qualitative studies on facilitating and hindering factors of Traditional Chinese Medicine exercise rehabilitation training in patients with NCD were systematically searched in China National Knowledge Infrastructure(CNKI), Wanfang Data, VIP Database, SinoMed, Cochrane Library、Web of Science、PubMed、Embase, the retrieval period was from the establishment of the database to May 2024. The Qualitative Research Authenticity Evaluation Tool (Version 2016) from JBI Evidence-Based Health Care Center was used to evaluate the quality of the literature, and Meta-integration was used to analyze the results. Results A total of 8 articles were included and 56 results were extracted, which were grouped into 10 new categories and integrated into 2 aspects:the facilitators included curiosity for Traditional Chinese Medicine exercise rehabilitation training, perceived physical and mental benefits, perceived healththreats, good social support and intervention factors (the advantages of Traditional Chinese Medicine exercise rehabilitation training and teaching methods); the barriers included lack of willpower, influence of disease and treatment factors, concerns about exercise risks, lack of exercise conditions and intervention factors (the challenge of actions and the disadvantages of online/group teaching). Conclusion Traditional Chinese Medicine exercise rehabilitation training of patients with NCD is affected by a variety of factors. Health care professionals need to understand the related factors and the actual attitude and viewpoint of the patients, so as to develop effective Traditional Chinese Medicine exercise rehabilitation training intervention strategies for patients with NCD.

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贾颖田,林可可,郭少波,李香儒,刘红霞.慢性病患者中医传统功法康复训练促进与 阻碍因素的Meta整合[J].护理学杂志,2024,39(22):16-21

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  • 收稿日期:2024-06-12
  • 最后修改日期:2024-08-29
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  • 在线发布日期: 2024-12-28