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护士在患者自杀后的真实体验:定性研究的元分析。

The real experiences of nurses after patient suicide: A meta-synthesis of qualitative studies.

机构信息

Nursing Department, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Cardiovascular Department, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Medicine (Baltimore). 2024 Oct 25;103(43):e40034. doi: 10.1097/MD.0000000000040034.

DOI:10.1097/MD.0000000000040034
PMID:39470533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11521019/
Abstract

OBJECTIVES

To systematically evaluate the qualitative study of nurses' real experience after patient suicide, and to provide theoretical basis for reducing the influence of patient suicide on nurses and reducing the incidence of patient suicide.

DESIGN

A systematic review and meta-synthesis of qualitative studies.

METHODS

These databases including The Cochrane Library, CINAHL, PubMed, Embase, Web of Science, CMB, CNKI, Wanfang, and VIP were searched by computer to collect relate qualitative researches. The retrieval time was from database established to February 2024. Joanna Briggs Institute Qualitative Research Quality Evaluation Form was used to evaluate the literature quality and Meta-integration.

RESULTS

A total of 12 studies were included and 47 results were obtained, which were summarized into 8 new categories and 3 integrated results were obtained. Theme 1: impact on nurses themselves; Theme 2: the nurse's thoughts and suggestions of patient suicide; Theme 3: coping strategy.

CONCLUSIONS

Nursing managers should fully pay attention to nurses' feelings and cognitive attitudes after patients' suicide events, strengthen psychological counseling for nurses, so as to reduce the impact of patients' suicide events on nurses.

摘要

目的

系统评价护士在患者自杀后的真实体验的定性研究,为减轻患者自杀对护士的影响、降低患者自杀发生率提供理论依据。

设计

系统评价和定性研究的元综合。

方法

计算机检索 Cochrane 图书馆、CINAHL、PubMed、Embase、Web of Science、CMB、CNKI、万方、维普等数据库,搜集有关护士在患者自杀后真实体验的定性研究,检索时限均为建库至 2024 年 2 月。采用 Joanna Briggs 研究所质性研究质量评价工具对文献进行质量评价,并进行 Meta 整合。

结果

共纳入 12 项研究,提取 47 个结果,归纳为 8 个新类别,得出 3 个整合结果。主题 1:对护士自身的影响;主题 2:护士对患者自杀事件的想法和建议;主题 3:应对策略。

结论

护理管理者应充分关注患者自杀事件后护士的感受和认知态度,加强对护士的心理疏导,从而减轻患者自杀事件对护士的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bc/11521019/9d714c8cb28f/medi-103-e40034-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bc/11521019/9d714c8cb28f/medi-103-e40034-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82bc/11521019/9d714c8cb28f/medi-103-e40034-g001.jpg

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本文引用的文献

1
Revisiting evidence of primary prevention of suicide among adult populations: A systematic overview.重新审视成年人群体中预防自杀的主要证据:系统综述。
J Affect Disord. 2022 Jan 15;297:641-656. doi: 10.1016/j.jad.2021.10.076. Epub 2021 Oct 31.
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Death Stud. 2022;46(5):1166-1175. doi: 10.1080/07481187.2020.1801894. Epub 2020 Aug 7.
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Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: a Systematic Review and Meta-Analysis.
不良事件中第二受害者的心理和身心症状:系统评价和荟萃分析。
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Oncologists', nurses', and social workers' strategies and barriers to identifying suicide risk in cancer patients.肿瘤学家、护士和社会工作者识别癌症患者自杀风险的策略和障碍。
Psychooncology. 2018 Jan;27(1):148-154. doi: 10.1002/pon.4481. Epub 2017 Jul 13.
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Brief gatekeeper training for suicide prevention in an ethnic minority population: a controlled intervention.针对少数民族群体预防自杀的简短守门人培训:一项对照干预研究。
BMC Psychiatry. 2016 Jul 7;16:211. doi: 10.1186/s12888-016-0924-4.
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Encephale. 2010 Jun;36 Suppl 2:D83-91. doi: 10.1016/j.encep.2009.06.011. Epub 2009 Sep 26.
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