糖尿病患者自我管理体验质性研究的Me t a整合

目的整合相关质性研究、系统评价糖尿病患者自我管理过程中的体验和感受。方法检索PubMed、Embase、Web of science、The cochrane library(CENTRAL)、CINAHL5个英文数据库及中国生物医学文献数据库、中国知网、万方、维普4个中文数据库中本领域的质性研究,检索时间均为建库至2019年11月30日。采用“澳大利亚JBI循证卫生保健中心(2017)质性研究质量评价标准”进行质量评价,采用汇集性整合的方法进行结果整合。结果共纳入8项研究,提炼32个完整的研究结果,将相似的结果进行归纳,得出6个新类别,并综合为2个整合结果。整合结果1:糖尿病患者在自我管理过程中会产生诸多压力和负性情绪,但随着对自我管理认知的不断深入,患者能采取各种措施,予以积极应对;整合结果2:糖尿病患者在自我管理过程中有足够的动力,但仍存在诸多困惑及障碍,渴望得到家庭、社会的支持。结论政府、医疗卫生机构、社会公众及患者家庭应充分重视糖尿病患者在自我管理过程中的感受和体验,针对患者自我管理过程中的薄弱环节,给予指导和支持,帮助其更好地管理疾病。

Meta integration of qualitative studies of self-management experience in patients with diabetes

Objective To conduct a systematic review on the experience of patients with diabetes during self-management.Methods Five English(PubMed,Embase,Web of Science,The Cochrane Library,CINAHL)and four Chinese(CBM,Wanfang,CNKI,VIP)databases were chosen to retrieve literature on self-management experience of patients with diabetes from inception to November 30th,2019.The JBI critical appraisal tool(2017)for qualitative studies in Australia was used to evaluate the quality of studies.Integrating method was used to integrate the results.Results Totally 32 findings were extracted from 8 qualified studies,6 new categories were generated and finally 2 synthesized results were obtained:1,Diabetes patients have a lot of pressure and negative emotions in the process of self-management,but with the deepening of self-management cognition and self-adjustment,patients gradually take various measures to deal with them;2,Diabetes patients have enough motivation in the process of self-management,but there are still a lot of confusion and obstacles,and they are eager to get support from family and society.Conclusion The government,medical and health institutions,the public and patient's families should pay more attention to the feeling and experience of patients with diabetes during self-management,and provide guidance and support for the weak links in the process of self-management to help them manage the disease better.