Qualitative study of self-care experience in patients with chronic heart failure: a Meta-synthesis
10.3760/cma.j.cn115682-20210626-02802
- VernacularTitle:慢性心力衰竭患者自我护理体验质性研究的Meta整合
- Author:
Hui LI
1
;
Xiaoling BAI
;
Qing WEI
;
Yutian NIU
Author Information
1. 贵州中医药大学护理学院,贵阳 550002
- Keywords:
Heart failure;
Self-care;
Qualitative research;
Systematic review;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2022;28(5):581-588
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review and integrate the self-care experience of patients with chronic heart failure, so as to provide a reference for the construction of self-care plan for patients with chronic heart failure.Methods:Qualitative studies on the self-care experience of patients with chronic heart failure were retrieved by computer in Chinese and English databases such as PubMed, PsycINFO, Web of Science, Embase, CINAHL, Cochrane Library, China National Knowledge Infrastructure (CNKI) , China Biomedical Literature Database, WanFang Med Database and VIP, and the retrieval time limit was from the establishment of the database to January 31, 2021. The quality of the studies were assessed using the Critical Appraisal Tool for qualitative studies of Joanna Briggs Institute Evidence-Based Health Care Centre in Australian. A pooled method was used to integrate the included articles.Results:A total of 13 articles were included. A total of 50 research results were extracted, and 7 new categories were obtained by integrating similar results, which were combined into 2 integrated results. Integrated result 1, that was, multiple factors affected the implementation of self-care in patients with chronic heart failure. Integrated result 2, that was, over time, the patient began to coexist with the disease, and realized self-worth by exploring positive psychological feelings and choosing positive responses using personal beliefs.Conclusions:Chronic heart failure patients are constrained by a variety of factors in the process of disease self-care. Medical and nursing staff should pay attention to the needs of patients in the process of self-care management, provide targeted support and help, and arouse their enthusiasm for self-management.