Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2024-04-24 Cooperative journals: 《中国全科医学》
Abstract： Background The incidence rate of stroke is high and the risk of recurrence is substantial. Most stroke patients need to transition to home after treatment，and the experience during this period is complex. Therefore，there is an urgent need to comprehensively understand experiences and feelings of patients during hospital to home transition through Meta#2;integration. Objective To systematically evaluate qualitative studies on stroke patients' hospital to home transition experiences. Methods A computerized search was undertaken for qualitative studies on the hospital to home transition experience of stroke patients in the PubMed，Web of Science，Scopus，Embase，CINAHL，PsycINFO，CNKI，and Wanfang Databases from inception to July 11，2023. The quality of the final included literature was evaluated using the Joanna Briggs Institute （JBI） Quality Evaluation Criteria for Qualitative Research（2016），Australia，and the results were combined using a pooled integration approach. Results A total of 13 studies were included，and 46 findings were distilled and categorized into 7 categories，yielding three final integrative findings：dynamic changes in the physical and psychosocial dimensions have interactive effects；a strong need for holistic caregiving；and active coping with illness and gradual transition to a new life norm. Conclusion During the period of transition from hospital to home，stroke patients face complex physical and mental challenges as well as multi-level care needs. Healthcare providers should pay attention to the real experiences and unmet needs of stroke patients throughout the hospital to home transition，provide holistic and continuous care services，and facilitate the comprehensive physical，psychological and social transition for patients.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-08-28 Cooperative journals: 《中国全科医学》
Abstract： Background Previous studies have found that 25%-85% of stroke patients develop post-stroke fatigue （PSF），and continuous feeling of fatigue seriously affects patients' daily life and rehabilitation process. Therefore，it is urgent to understand the psychological experience and needs of such patients. However，the results of previous single qualitative studies may not be representative. Objective To systematically review and integrate qualitative studies on the fatigue experience of patients with PSF，so as to provide a reference for the construction of management strategies for PSF patients. Methods PsycINFO，PubMed，Web of Science，CINAHL，Cochrane Library，Scopes，Joanna Briggs Institute（JBI）Evidence#2;Based Health Care database，CNKI，Wanfang，VIP，CBM were searched by computer to screen qualitative studies on fatigue experience of patients with PSF from inception to July 5，2023. JBI Critical Appraisal Tool for qualitative studies in Australia was used to evaluate the quality of included literature，and Meta-synthesis was performed to integrate results. Results A total of 10 papers were included，and 22 primary outcomes were distilled，grouped into 8 categories，and synthesized into 4 integrated outcomes，including significant lack of cognition of PSF；intricate negative physical and psychological experience；differentself-regulation of PSF and multiple needs for PSF rehabilitation. Conclusion PSF patients have insufficient cognition of fatigue with significant negative physical and psychological experience. Therefore，PSF patients should be identified and screened at an early stage with strengthened fatigue education and personalized fatigue management strategies. Emphasis should also be placed on the role of community and family in the management of fatigue，so that they can work together with healthcare professionals to provide a favorable rehabilitation environment for PSF patients.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-08-10 Cooperative journals: 《中国全科医学》
Abstract： Background As one of the important evaluation indicators of rehabilitation effect in stroke survivors，social participation has gradually attracted attention. Understanding the cognition and experience of social participation in strokesurvivors is beneficial in helping stroke survivors recover quickly，return to families and reintegrate into society. However，the results of single qualitative studies may not be generalisable and representative. Objective To systematically review thequalitative studies on cognition and experience of social participation in stroke survivors by Meta-synthesis methods，so as toprovide a reference for further improving the rehabilitation effect of stroke survivors. Methods PubMed，Web of Science，Cochrane Library，Embase，PsycINFO，CINAHL，JBI evidence-based health care database，CNKI，Wanfang Data，VIPand CBM were searched by computers to screen qualitative studies on cognition and experience of social participation in strokesurvivors from inception to November 2022. Pooled meta-integration method was used to perform the meta-synthesis of researchthemes，implications，classifications and so on. Results A total of 14 papers were included，involving 183 stroke survivors，and 26 findings were derived from Meta-synthesis，which were summarized into 8 new categories，and 3 integrated findings werefinally synthesized，including cognition and experience of social participation in stroke survivors，multiple social participationwere limited in stroke survivors by multiple factors，multiple support for social participation was essential in stroke survivors.Conclusion Stroke survivors have new insights into social participation，and it is necessary to correct and eliminate the self identification disorder and limiting factors of social participation，and focus on multi-party support of social participation in strokesurvivors.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-07-03 Cooperative journals: 《中国全科医学》
Abstract： Background Understanding the real experiences of elderly patients with chronic diseases during hospital#2;to-home transition and their expectations of care services can help promote the quality improvement of care services during the transition. In recent years，qualitative studies on real experiences of elderly patients with chronic diseases during the hospital-to#2;home transition and their experience of care services have gradually increased，however，the results of single qualitative study may not be generalizable and representative. Objective To systematically evaluate qualitative studies on the real experiences of elderly patients with chronic diseases during the hospital-to-home transition and their experience of care services. Methods In May 2022，PubMed，Web of Science Core Collection，EmBase，CINAHL，CNKI，and Wanfang Data Knowledge Service Platform were searched for the qualitative studies on the real experiences of elderly patients with chronic diseases during hospital#2;to-home transition and their experience of care services from inception to May 2022. Two researchers separately screened the literature and extracted data，evaluated the quality of included studies according to the Critical Appraisal Skills Programme（CASP）developed by evidence-based medicine center of University of Oxford. Meta synthesis was applied to integrate the results of the studies. Results A total of 13 studies were included with 45 research results extracted，and 3 synthesized findings were integrated from 8 categories grouped by similar findings，including barriers to care services during hospital-to-home transition for elderly patients with chronic diseases；facilitators of care services during hospital-to-home transition for elderly patients with chronic diseases；expectations of elderly patients with chronic diseases for care services during hospital-to-home transition. Conclusion Hospital-to-home transition of elderly patients with chronic diseases is a challenging process，and there is still much room for improvement in the quality of care services during the transition. Families，communities，medical institutions，government，and society should actively improve the transition conditions for elderly patients at the individual，community，and social levels. The safe hospital-to-home transition of elderly patients with chronic diseases can be promoted by enhancing education for patients during transition，improving self-management abilities of patients，and providing nurse-led care services during transition.
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