Meta-integration of real disease experience in young and middle-aged patients with end-stage renal disease
10.3760/cma.j.cn211501-20240714-01856
- VernacularTitle:中青年终末期肾病患者疾病真实体验的Meta整合
- Author:
Qitao MA
1
;
Hongyi LI
;
Xiangyun LI
;
Wei ZHANG
;
Xiaoyuan ZHANG
;
Huifang ZHANG
Author Information
1. 北京大学第一医院太原医院(太原市中心医院)肾内科血液净化中心,太原 030009
- Publication Type:Journal Article
- Keywords:
Hemodialysis;
Peritoneal dialysis;
Qualitative research;
Meta-analysis;
Young and middle-aged;
End-stage renal disease
- From:
Chinese Journal of Practical Nursing
2025;41(15):1183-1191
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the disease experience and inner needs of young and middle-aged patients with end-stage renal disease, so as to provide evidence for medical personnel to pay more attention to the mental health of this population and give personalized care.Methods:The qualitative studies on the real experience, psychological feeling and experience of young and middle-aged patients with end-stage renal disease were searched by PsycInfo, PubMed, Embase, CINAHL, Web of Science, China National Knowledge Network, Wanfang, VIP and China Biomedical Literature Database. The retrieval period was from the establishment of the database to April 20, 2024. Joanna Briggs Institute Evidence-based Health Care Center Evaluation criteria (2016 edition) were used to evaluate the literature quality, and the results were summarized and integrated by aggregative meta-integration method.Results:A total of 10 studies were included, and 47 clear findings were extracted and classified into 10 new categories, which were combined into 4 integrated results: the phased changes of patients′ real experience at all levels of body, mind and society, impairment of their own and family role functions, desire for support and lack of autonomy in decision-making, and reconstruction of positive attitude and future outlook in the face of disease.Conclusions:Nursing staff should pay attention to and understand the psychosocial conditions of young and middle-aged patients with end-stage renal disease, timely provide targeted psychological support and help to enhance their confidence in treatment, better return to work and society, and improve their quality of life.