传染病爆发期间住院患者的隔离经历:系统综述与 Meta-Ethnography。

IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES
Behavioral Medicine Pub Date : 2024-07-01 Epub Date: 2023-06-21 DOI:10.1080/08964289.2023.2214717
Andrea Rodríguez-Prat, Denise Pergolizzi, Iris Crespo, Cristina Monforte-Royo
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引用次数: 0

摘要

在传染病爆发期间,医院隔离对人们来说很常见。据报道,这些措施会导致焦虑、压力、抑郁和其他社会心理后果。然而,有关被隔离的体验以及在这种情况下进行移情临床护理的最佳实践的证据却很少。本研究旨在探讨传染病爆发期间住院患者的隔离体验。研究采用了系统回顾和荟萃人种学的方法。研究人员于 2021 年 4 月 14 日和 2022 年 5 月 2 日分别在 PubMed、CINAHL、Web of Science 和 PsycINFO 数据库中采用了检索策略。数据综合采用 Noblit 和 Hare 的定性专题综合法。本综述共纳入 20 篇报告:16 篇定性报告、2 篇混合方法报告(只分析定性部分)以及 2 篇个人观点报告。这些报告共描述了 337 名住院和被隔离的传染病患者的经历。在对数据进行分析和编码后,产生了四个主题:1)由隔离引发的感觉;2)应对策略;3)连接/断开连接;4)影响隔离体验的因素。尽管采用了敏感的搜索策略,但使用定性方法反映病人经历的研究仍然有限。疫情爆发期间住院患者的隔离体验主要表现为恐惧、耻辱感以及因缺乏信息而与他人和外界断绝联系的感觉。促进以人为本的护理模式可以帮助住院患者建立适应机制,最大限度地减少隔离带来的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experiences of Isolation among Patients Hospitalized during an Infectious Disease Outbreak: A Systematic Review and Meta-Ethnography.

Hospital isolation is common for people during infectious disease outbreaks. Anxiety, stress, depression and other psychosocial outcomes have been reported due to these measures. However, there is scarce evidence about the experience of being isolated and about best practices for empathic clinical care in these circumstances. The aim of this study was to explore the experience of isolation on patients hospitalized during an infectious disease outbreak. A systematic review and meta-ethnography was carried out. A search strategy was applied to the PubMed, CINAHL, Web of Science, and PsycINFO databases on April 14, 2021 and again May 2, 2022. Data synthesis was conducted using Noblit and Hare's method of qualitative thematic synthesis. Twenty reports were included in this review: 16 qualitative, two mixed-methods (only the qualitative part was analyzed), plus 2 personal view pieces. They described the experiences of a total of 337 people hospitalized and isolated with an infectious disease. Following analysis and coding of data, four themes emerged: 1) Feelings triggered by isolation; 2) Coping strategies; 3) Connection/disconnection; 4) Factors that influence the experience of isolation. Despite a sensitive search strategy, limited studies represent patient experiences using qualitative methods. The experience of isolation among patients hospitalized during an outbreak is characterized by fear, perceived stigma, and a sense of disconnection from others and the outside world due to a lack of information. Fostering a person-centered care model could help hospitalized patients develop adaptive mechanisms that minimize the impact of isolation.

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来源期刊
Behavioral Medicine
Behavioral Medicine 医学-行为科学
CiteScore
5.30
自引率
4.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: Behavioral Medicine is a multidisciplinary peer-reviewed journal, which fosters and promotes the exchange of knowledge and the advancement of theory in the field of behavioral medicine, including but not limited to understandings of disease prevention, health promotion, health disparities, identification of health risk factors, and interventions designed to reduce health risks, ameliorate health disparities, enhancing all aspects of health. The journal seeks to advance knowledge and theory in these domains in all segments of the population and across the lifespan, in local, national, and global contexts, and with an emphasis on the synergies that exist between biological, psychological, psychosocial, and structural factors as they related to these areas of study and across health states. Behavioral Medicine publishes original empirical studies (experimental and observational research studies, quantitative and qualitative studies, evaluation studies) as well as clinical/case studies. The journal also publishes review articles, which provide systematic evaluations of the literature and propose alternative and innovative theoretical paradigms, as well as brief reports and responses to articles previously published in Behavioral Medicine.
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