{"title":"The Experience and Needs of Living With Home Parenteral Nutrition in Adult Patients: A Meta-Synthesis of Qualitative Studies.","authors":"Manyi Fu, Ming Shi, Mengjie Li, Guijuan He","doi":"10.1111/jocn.17440","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Home parenteral nutrition (HPN) can improve the nutritional status of patients with gastrointestinal dysfunction. However, some patients face a series of challenges during its implementation, which significantly affect their quality of life.</p><p><strong>Aims: </strong>To explore the experience and needs of living with home parenteral nutrition in adult patients.</p><p><strong>Design: </strong>A systematic review and meta-synthesis.</p><p><strong>Methods: </strong>A search was conducted across multiple databases, including PubMed, Embase, Cochrane Library, Web of Science, Chinese Biomedical Literature Service System, China National Knowledge Infrastructure, Wanfang Database and Wipu Database, to explore the real-life experiences and needs of adult patients receiving HPN. The search covered the period up to March 2024. Qualitative research quality was evaluated using the Joanna Briggs Institute's Australian Centre for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research. Data synthesis was performed using Thomas and Harden's method of thematic and content analysis.</p><p><strong>Results: </strong>Twelve studies, each offering qualitative data, were analysed, resulting in the identification of four themes: positive experiences of HPN; the interplay of dynamic changes across physical, mental and social levels; self-adjustment to the new normal; and multidimensional needs of patients receiving HPN.</p><p><strong>Conclusions: </strong>Patients receiving HPN face multiple challenges physically, psychologically and socially. This paper also reveals the supportive needs of patients in adapting to a new lifestyle with HPN. This indicates that healthcare professionals should provide comprehensive, continuous and dynamic supportive medical services to facilitate patients' reintegration and return to normal social life.</p><p><strong>Patient and public involvement: </strong>As this study constitutes a meta-synthesis, patient or public contribution is not applicable.</p><p><strong>Reporting approach: </strong>Adhering to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) reporting guidelines, this meta-synthesis was conducted.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jocn.17440","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/23 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Home parenteral nutrition (HPN) can improve the nutritional status of patients with gastrointestinal dysfunction. However, some patients face a series of challenges during its implementation, which significantly affect their quality of life.
Aims: To explore the experience and needs of living with home parenteral nutrition in adult patients.
Design: A systematic review and meta-synthesis.
Methods: A search was conducted across multiple databases, including PubMed, Embase, Cochrane Library, Web of Science, Chinese Biomedical Literature Service System, China National Knowledge Infrastructure, Wanfang Database and Wipu Database, to explore the real-life experiences and needs of adult patients receiving HPN. The search covered the period up to March 2024. Qualitative research quality was evaluated using the Joanna Briggs Institute's Australian Centre for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research. Data synthesis was performed using Thomas and Harden's method of thematic and content analysis.
Results: Twelve studies, each offering qualitative data, were analysed, resulting in the identification of four themes: positive experiences of HPN; the interplay of dynamic changes across physical, mental and social levels; self-adjustment to the new normal; and multidimensional needs of patients receiving HPN.
Conclusions: Patients receiving HPN face multiple challenges physically, psychologically and socially. This paper also reveals the supportive needs of patients in adapting to a new lifestyle with HPN. This indicates that healthcare professionals should provide comprehensive, continuous and dynamic supportive medical services to facilitate patients' reintegration and return to normal social life.
Patient and public involvement: As this study constitutes a meta-synthesis, patient or public contribution is not applicable.
Reporting approach: Adhering to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) reporting guidelines, this meta-synthesis was conducted.
背景：家庭肠外营养（HPN）可改善胃肠功能障碍患者的营养状况。目的：探讨成年患者使用家庭肠外营养的经验和需求：设计：系统综述和荟萃分析：在PubMed、Embase、Cochrane图书馆、Web of Science、中国生物医学文献服务系统、中国国家知识基础设施、万方数据库和维普数据库等多个数据库中进行检索，以探索接受HPN的成年患者的实际生活经验和需求。检索时间截至 2024 年 3 月。定性研究质量采用乔安娜-布里格斯研究所（Joanna Briggs Institute）的澳大利亚循证医疗质量评估中心（Australian Centre for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research）进行评估。数据综合采用托马斯和哈登的主题和内容分析法：对提供定性数据的 12 项研究进行了分析，最终确定了四个主题：HPN 的积极体验；身体、精神和社会层面动态变化的相互作用；自我适应新常态；以及接受 HPN 患者的多方面需求：接受 HPN 的患者面临着身体、心理和社会方面的多重挑战。本文还揭示了接受 HPN 治疗的患者在适应新生活方式时所需要的支持。这表明，医护人员应提供全面、持续和动态的支持性医疗服务，以帮助患者重新融入和回归正常的社会生活：由于本研究是一项荟萃综述，因此患者或公众的参与并不适用：报告方法：根据系统综述和元分析首选报告项目（PRISMA）的报告指南，本研究进行了元综合。
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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