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成年人患多种疾病的生活体验:一项定性系统评价方案

Adults' experience of living with multimorbidity: a qualitative systematic review protocol.

作者信息

Whitehead Lisa, Palamara Peter, Browning Shannon, Ferris Jessica

机构信息

School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia.

The Centre for Evidence Informed Nursing, Midwifery and Healthcare Practice: A JBI Affiliated Group, Perth, WA, Australia.

出版信息

JBI Evid Synth. 2021 Aug;19(8):1941-1947. doi: 10.11124/JBIES-20-00148.

Abstract

OBJECTIVE

The objective of the review is to synthesize the qualitative research literature on the experiences of adults living with multimorbidity.

INTRODUCTION

Persons living with two or more chronic health conditions, known as multimorbidity, is a global health problem in countries of all income levels. Multimorbidity presents an ever-increasing resource and financial burden for health care systems and similarly challenges those living with multiple health conditions because of the complexity of their health and treatment requirements. Overall, persons with multimorbid conditions experience a high risk of mortality and a lower quality of life. Understanding the adult experience of multimorbidity is important for creating and implementing health care that meets the needs of individuals living with the burden of multiple chronic health conditions.

INCLUSION CRITERIA

The systematic review will include published peer-reviewed and unpublished English-language studies from 2000 to 2020 that provide qualitative evidence of adults' (18+ years of age) experiences of living with multimorbidity.

METHODS

CINAHL with full text, Cochrane, MEDLINE, Embase, PsycINFO, Consumer Health Database, Scopus, and ScienceDirect journals and books will be searched. Reference lists of included studies will also be cross-checked with search outcomes to identify additional studies. Sources of gray literature will also be searched for unpublished studies. The critical appraisal of selected studies and the extraction of data will be independently undertaken by two reviewers using JBI methods. The findings will be pooled using meta-aggregation to produce comprehensive synthesized findings. A ConQual Summary of Findings will also be presented.

SYSTEMATIC REVIEW REGISTRATION NUMBER

PROSPERO CRD42020152038.

摘要

目的

本综述的目的是综合关于患有多种疾病的成年人经历的定性研究文献。

引言

患有两种或更多慢性健康状况(即多种疾病)的人群是所有收入水平国家都面临的一个全球健康问题。多种疾病给医疗保健系统带来了日益增加的资源和经济负担,同样也给患有多种健康状况的人带来了挑战,因为他们的健康和治疗需求很复杂。总体而言,患有多种疾病的人面临着较高的死亡风险和较低的生活质量。了解成年人患多种疾病的经历对于创建和实施满足患有多种慢性健康状况负担的个人需求的医疗保健至关重要。

纳入标准

系统综述将包括2000年至2020年发表的经同行评审的和未发表的英文研究,这些研究提供了成年人(18岁及以上)患有多种疾病经历的定性证据。

方法

将检索CINAHL全文数据库、Cochrane图书馆、MEDLINE、Embase、PsycINFO、消费者健康数据库、Scopus以及ScienceDirect期刊和书籍。还将对纳入研究的参考文献列表与检索结果进行交叉核对,以识别其他研究。还将搜索灰色文献来源以查找未发表的研究。两名评审人员将使用JBI方法独立对选定研究进行批判性评价并提取数据。研究结果将通过元聚合进行汇总,以得出全面的综合结果。还将呈现“研究结果的ConQual总结”。

系统综述注册号

PROSPERO CRD42020152038。

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