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女性子宫切除术的真实体验:定性研究证据的荟萃分析。

The real experience with women's hysterectomy: A meta-synthesis of qualitative research evidence.

机构信息

The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.

School of Nursing, Nanjing Medical University, Nanjing, Jiangsu, China.

出版信息

Nurs Open. 2023 Feb;10(2):435-449. doi: 10.1002/nop2.1348. Epub 2022 Sep 7.

Abstract

AIM

The aim of this meta-synthesis was to identify and synthesize qualitative research evaluating the real feelings, inner needs and emotional experience of women undergoing hysterectomy.

DESIGN

Meta-synthesis.

METHODS

The PubMed, Web of Science, Cochrane Library, CINAHL, Embase, Ovid Medline and Sino Med were systematically searched until November 2021 and updated until June 2022. Two reviewers independently extracted data into a Microsoft Excel sheet. Qualitative meta-synthesis was performed by coding relevant citations, organizing codes into descriptive themes and developing analytical themes.

RESULTS

Qualitative meta-synthesis yielded three themes and nine sub-themes: comprehensive consideration before hysterectomy (a. disease factors; b. fertility factors; c. opinions of others); emotions and experience after hysterectomy (a. postoperative physical condition; b. psychological resilience to the loss of the uterus; c. changes in the couple's relationship); coping strategies (a. self-denial and avoidance; b. change of perception and self-adjustment; c. seek help from others).

摘要

目的

本荟萃分析旨在识别和综合评估女性接受子宫切除术的真实感受、内在需求和情感体验的定性研究。

设计

荟萃分析。

方法

系统检索 PubMed、Web of Science、Cochrane Library、CINAHL、Embase、Ovid Medline 和 Sino Med,直至 2021 年 11 月,并更新至 2022 年 6 月。两名评审员独立将数据提取到 Microsoft Excel 工作表中。通过对相关引文进行编码、将代码组织成描述性主题和发展分析性主题,进行定性荟萃分析。

结果

定性荟萃分析产生了三个主题和九个子主题:子宫切除术前的综合考虑(a.疾病因素;b.生育因素;c.他人意见);子宫切除术后的情绪和体验(a.术后身体状况;b.对子宫丧失的心理弹性;c.夫妻关系的变化);应对策略(a.自我否定和回避;b.观念转变和自我调整;c.寻求他人帮助)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85f9/9834517/9f51ae46dd71/NOP2-10-435-g001.jpg

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