Qualitative studies on self-management experience of patients undergoing enterostomy: a Meta-synthesis
10.3760/cma.j.cn115682-20220613-02829
- VernacularTitle:肠造口患者自我管理体验质性研究的Meta整合
- Author:
Hanyu LIU
1
;
Linlin GAO
;
Hua CHEN
Author Information
1. 北京大学护理学院，北京 100191
- Keywords:
Self-management;
Enterostomy patients;
Qualitative study;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2023;29(21):2806-2813
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the qualitative research on self-management experience of enterostomy patients at home and abroad, comprehensively understand the self-management behavior of enterostomy patients, so as to assist patients in managing stomas and provide evidence-based basis for further promoting self-management of enterostomy patients.Methods:Qualitative studies on the self-management experience of patients undergoing enterostomy were systematically searched in Cochrane Library, Joanna Briggs Institute (JBI) Evidence-Based Healthcare Center in Australia, CINAHL, PubMed, Web of Science, Scopus, EBSCO, China Biology Medicine disc, China National Knowledge Infrastructure (CNKI), VIP and WanFang Data. The search period was from database establishment to November 30, 2021. The quality of article was evaluated using the quality evaluation criteria for qualitative study of the Australian JBI Evidence-Based Healthcare Center. The results were integrated using an aggregative integration method.Results:A total of 11 articles were included and 37 clear and comprehensive research results were extracted. The similar results were categorized into 8 new categories and merged into 3 integrated results, including many misconceptions and obstacles in self-management of daily life after discharge, desire for social support systems and continuous nursing guidance, and a lot of negative emotions were generated, showing different levels of psychological stress, a few patients could actively cope.Conclusions:Society, healthcare institutions, and patient families should pay sufficient attention to the self-management of patients undergoing enterostomy, and pay attention to the negative psychological reactions such as fear, inferiority, guilt, and social self-isolation reactions they may experience during the self-management. In response to the problems encountered by patients in their daily lives, as well as the confusion they face in terms of work and social limitations, we should provide guidance and support to help stoma patients improve their self-management experience.
