文章摘要
脑卒中患者健康促进行为驱动力质性研究的meta整合
riving factors of Health-promoting Behavior in Stroke Patients:a Meta-integration of Qualitative Research
投稿时间:2024-06-07  修订日期:2024-06-07
DOI:
中文关键词: 脑卒中  健康促进行为  质性研究  meta整合
英文关键词: Stroke  Health-promoting behaviour  Qualitative research  Meta-synthesis
基金项目:
作者单位邮编
徐宇 武汉大学中南医院 430071
梅菁 武汉大学中南医院 
何易 武汉大学中南医院 
谢斐 武汉大学中南医院 430071
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中文摘要:
      目的 系统评价脑卒中患者健康促进行为的关键驱动因素,以期为医护人员实施健康教育、制定干预措施提供科学依据。方法 检索中国知网、万方、维普、PubMed、 Scpous、Web of Science、Cochrane、CINAHL、EMBase、PsycINFO、Sinomed等数据库中与脑卒中患者健康促进行为相关的质性研究,检索时间截至2023年12月。采用JBI循证卫生保健中心的质性研究质量评价标准对文献进行质量评价,并对纳入文献的主题进行Meta整合。结果 本研究共纳入9篇文献,提取出52个主题,最终将相似的结果归纳成2个整合结果、10个类别。结论 脑卒中患者的健康促进行为转变是多种因素共同作用的结果,医务人员在制定干预策略时应从患者自身角度出发,使医患信息共享,正视患者的健康需求,在激发患者健康行为意向的同时提供必要的情感和资源支持,以提高患者健康促进行为的依从性。
英文摘要:
      Objective to systematically access the driving factors of health-promoting behavior in stroke patients, aiming to provide scientific basis for medical staff to implement health education and formulate intervention measures. Methods Relevant literature of qualitative research on stroke patients' health-promoting behaviour was retrieved from CNKI, Wanfang database, VIP database、PubMed、Scpous、Web of Science、Cochrane、CINAHL、EMBase、PsycINFO、Sinomed, covering the period inception of the databases to December 2023. The assessment of the literature's quality was conducted utilizing the Joanna Briggs Institute (JBI)'s standardized appraisal tool designed for qualitative research studies, and the topics included in the literature were analyzed and summarized by Meta integration. Results A total of 9 literatures were included in this study,and 52 themes were extracted. Ultimately, the similar results were summarized into 2 integrated results and 10 categories. Conclusion The transformation of health-promoting behavior in stroke patients is a result of multifactorial influences.When formulating intervention strategies, medical staff should start from the perspective of patients themselves, facilitating shared medical information, addressing patients' health needs, and providing necessary emotional and resource support while stimulating patients' intention of healthy behavior, thereby enhancing adherence to health-promoting behavior.
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