心脏移植患者的生活经历：系统性文献综述和元综合

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2024-10-30 DOI:10.1016/j.hrtlng.2024.10.013

Safae Nour El Hadi RN, MSc , Renzo Zanotti RN, PhD , Matteo Danielis RN, PhD

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引用次数: 0

摘要

背景心脏移植（HT）受者通常表示生活质量得到改善，整体幸福感增加，将移植视为重生和第二次生命的机会。然而，每个人对正常生活的理解各不相同。深入了解患者和护理人员的经历对于调整临床护理路径和避免并发症至关重要。方法从 2013 年 1 月 1 日至 2023 年 9 月 30 日，使用 MEDLINE (PubMed)、CINHAL (EBSCO)、SCOPUS、Web of Science 和 Embase (OVID) 数据库对文献进行了系统检索。结果共检索到 5,114 篇文章，其中 13 篇完全符合纳入标准，被选中进行提取和综合。通过归纳法确定了 28 个代码，然后将其归纳为七个类别和三个主题：1）经历一段充满情感的旅程；2）平衡个人健康和社会动态；3）促进存在主义反思。结论本综述强调了进一步研究和开发针对 HT 术后患者的标准化评估框架的重要性，强调不仅要考虑临床因素，还要考虑心理和个人方面，以改善预后和生活质量。此外，综述还发现缺乏有关护理人员经历的全面信息，这突出表明有必要开展进一步研究，以更好地了解和支持护理人员在移植后历程中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Lived experiences of persons with heart transplantation: A systematic literature review and meta-synthesis

Background

Heart transplantation (HT) recipients often report improved quality of life and increased overall happiness, viewing the transplantation as a rebirth and a second chance at life. However, interpretations of normality vary among individuals. Understanding patients' and caregivers’ experiences in depth is crucial to adjust clinical care paths and avoid complications.

Objective

To examine the experiences of patients and caregivers after cardiac transplantation.

Methods

A systematic search of the literature was performed from January 1, 2013, to September 30, 2023, using the MEDLINE (PubMed), CINHAL (EBSCO), SCOPUS, Web of Science, and Embase (OVID) databases. Full-text, primary qualitative articles written in English, which reported patients’ experiences of daily life after HT, were included.

Results

The search yielded 5,114 articles; 13 articles that fully met the inclusion criteria were selected for extraction and synthesis. The inductive approach led to the identification of 28 codes, which were then grouped into seven categories and three themes: 1) Undergoing an emotionally charged journey, 2) Balancing personal health and social dynamics, and 3) Fostering existential reflection.

Conclusions

This review underscores the importance of further research and the development of a standardized assessment framework for post-HT patients, emphasizing the need to consider not just clinical factors but also psychological and personal aspects to improve outcomes and quality of life. Additionally, the review identified a lack of comprehensive information about the experiences of caregivers, highlighting the need for further studies to better understand and support their roles in the post-transplant journey.

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来源期刊

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.