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心肺复苏和侵入性操作期间家属在场:一项元综合分析。

Family presence during cardiopulmonary resuscitation and invasive procedures: a meta-synthesis.

作者信息

Barreto Mayckel da Silva, Peruzzo Hellen Emília, Garcia-Vivar Cristina, Marcon Sonia Silva

机构信息

Universidade Estadual de Maringá, Maringá, PR, Brazil.

Universidade de Navarra, Pamplona, Navarra, Spain.

出版信息

Rev Esc Enferm USP. 2019 Feb 25;53:e03435. doi: 10.1590/S1980-220X2018001303435.

Abstract

OBJECTIVE

To synthesize the best qualitative evidence regarding the perception of family members, patients and health professionals about family presence during cardiopulmonary resuscitation and invasive procedures.

METHOD

Systematic review with meta-synthesis performed in the databases of Web of Science, Scopus, CINAHL, PsycINFO, LILACS, MEDLINE, Embase and VHL. Articles published between 2010 and 2017 were included and evaluated with use of the Qualitative Data Extraction Instrument.

RESULTS

In total, were found 2,391 articles, out of which 26 were selected, and 24 were analyzed. The identified meta-theme was 'A pendular perspective: different views on family presence during cardiopulmonary resuscitation and invasive procedures', which is supported by the following themes: Benefits resulting from family presence; Disadvantages and/or limiting factors of family presence; and Context: environmental, sociocultural and care factors influencing the perception of family presence.

CONCLUSION

The perception of family members, patients and professionals about family presence is still controversial. The sensitization of these subjects can potentiate the practice by making it more systematized and qualified.

摘要

目的

综合关于家庭成员、患者及医护人员对心肺复苏和侵入性操作期间家属在场的看法的最佳定性证据。

方法

在科学网、Scopus、护理学与健康领域数据库、心理学文摘数据库、拉丁美洲及加勒比地区健康科学数据库、医学期刊数据库、荷兰医学文摘数据库和虚拟健康图书馆数据库中进行系统综述和元综合分析。纳入2010年至2017年发表的文章,并使用定性数据提取工具进行评估。

结果

共检索到2391篇文章,其中26篇被选中,24篇被分析。确定的元主题是“一种摆动视角:对心肺复苏和侵入性操作期间家属在场的不同看法”,以下主题为其提供支持:家属在场带来的益处;家属在场的弊端和/或限制因素;以及背景:影响对家属在场看法的环境、社会文化和护理因素。

结论

家庭成员、患者和专业人员对家属在场的看法仍存在争议。对这些对象进行宣传可使实践更加系统化和专业化,从而增强实践效果。

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