Wang L, Yao Q, Zhang Y P, Xia Y L, Gu Y, Zhou H C
Department of Burns and Plastic Surgery, the Second People's Hospital of Chengdu, Chengdu 610000, China.
Department of Nursing, the Second People's Hospital of Chengdu, Chengdu 610000, China.
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022 Jan 20;38(1):69-76. doi: 10.3760/cma.j.cn501120-20201130-00507.
To systematically evaluate and integrate the real experience of burn patients during rehabilitation, and to provide theoretical guidance for the continual nursing care for burn patients. The systematic evaluation method was adopted. Databases including the were retrieved with the search terms in Chinese version of "/, //, ////", and , , , were retrieved with the search terms of "burn/burns, rehabilitation/recovery/survivor/survive, experience/views/perceptions/, qualitative/phenomenon/interview/grounded theory". The qualitative studies on the real experience of burn patients during rehabilitation published from the establishment of each database to June 2020 were searched. The quality of the included studies was evaluated according to the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center. The research country, research method, research object, research content, and main research result were summarized, and meta-synthesis of the research results was conducted with the aggregative integration method. A total of 12 studies were included, and the quality of all the studies was grade B. The studies were conducted in 8 countries including Australia, Canada, Norway, etc., the research method mainly was phenomenological research method, and all the studies were focused on adult burn patients. A total of 46 specific themes were extracted with totally 10 new categories formed after summarization, and 3 integrated results were obtained as follows: burn patients suffered from both physical and psychological burdens, and their normal life was broken; burn patients gained post-traumatic growth and could actively adjust to cope with life difficulties; burn patients had multiple needs. Burn patients experience both physical and psychological pains during rehabilitation, so they long for multiple support from family and society. Medical staff, social groups, and family members should pay attention to the psychological experience and needs of burn patients with different characteristics during rehabilitation, and build a multi-directional social support system to help patients return to the society and rebuild their lives.
系统评价并整合烧伤患者康复期间的真实体验,为烧伤患者的延续性护理提供理论指导。采用系统评价方法。以中文检索词“/, //, ////”检索相关数据库,并以“烧伤/烫伤、康复/恢复/幸存者/存活、体验/观点/认知、定性/现象学/访谈/扎根理论”为检索词检索 、 、 、 。检索各数据库建库至2020年6月发表的关于烧伤患者康复期间真实体验的定性研究。依据乔安娜·布里格斯循证卫生保健中心定性研究质量评价标准对纳入研究的质量进行评价。总结研究国家、研究方法、研究对象、研究内容及主要研究结果,并采用聚合整合法对研究结果进行元合成。共纳入12项研究,所有研究质量均为B级。研究在澳大利亚、加拿大、挪威等8个国家开展,研究方法主要为现象学研究法,所有研究均聚焦成年烧伤患者。共提取46个具体主题,总结后形成10个新类别,获得3个整合结果如下:烧伤患者身心负担重,正常生活被打破;烧伤患者获得创伤后成长,能积极调整以应对生活困难;烧伤患者有多种需求。烧伤患者在康复过程中经历身心痛苦,渴望得到家庭和社会的多方支持。医护人员、社会群体及家庭成员应关注不同特点烧伤患者康复期间的心理体验和需求,构建多方位社会支持体系,帮助患者回归社会、重建生活。