A Meta integration of qualitative studies on self management experience of peritoneal dialysis patients
10.3760/cma.j.cn115682-20200617-03946
- VernacularTitle:腹膜透析患者自我管理体验质性研究的Meta整合
- Author:
Yali ZHONG
1
;
Xinling SONG
;
Wei CHEN
;
Xiaomei SHEN
;
Xiaobin LUO
Author Information
1. 贵州中医药大学研究生院，贵阳 550002
- Keywords:
Dialysis;
Peritoneal dialysis;
Self-management;
Qualitative research;
Meta integration
- From:
Chinese Journal of Modern Nursing
2021;27(6):772-778
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the experience of self-management in peritoneal dialysis patients.Methods:Databases including PubMed, Embase, Web of Science, the Cochrane Library, PsycInfo, Scopus and CNKI, Wanfang, VIP, CBM and Google Scholar were searched and relevant qualitative research on self-management experience of peritoneal dialysis patients was retrieved with a time limitation from the establishment of the databases to April 6, 2020. The quality of articles was evaluated by the quality evaluation standard of qualitative research of JBI evidence-based health care center (2008) , and the results were Meta integrated.Results:A total of 8 studies were included, and 26 complete research results were extracted. We summed up 10 new categories, and obtained 3 integrated results. Integration result 1: cognitive and behavioral management. Patients try to maintain the independence and confidence of peritoneal dialysis management through facing renal failure and adapting to dialysis treatment. Integration result 2: crisis identification and management of complications. Through continuous learning of knowledge and skills related to dialysis treatment, as well as identification and treatment of worsening symptoms, patients can improve their ability of crisis identification and management. Integration result 3: role and social relationship management. Patients constantly adjust their roles and emotions to adapt to changes in daily life and maintain social functions and strive to strengthen communication with medical care, family and society to obtain social relationship support, and increase patients' confidence in self-management.Conclusions:The self-management of peritoneal dialysis patients involves many aspects. The medical staff should give understanding, guidance, and support to the patients' self-management and self-care process in combination with family and society, to help them with better self-management and improve their quality of life.
