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HIV感染者/AIDS患者运动体验质性研究的Meta整合

Experience of exercise in HIV infected/AIDS patients: a Meta-synthesis of qualitative research

摘要目的:系统评价和整合HIV感染者/AIDS患者的运动体验。方法:计算机检索Web of Science、PubMed、Embase、Cochrane Library、CINAHL、PsycINFO、万方数据库、中国知网、中国生物医学文献数据库、维普数据库,收集HIV感染者/AIDS患者运动体验的质性研究,检索时限为建库至2024年1月31日。采用JBI质性研究质量评价标准对文献质量进行评价,采取汇集性整合方法整合结果。结果:共纳入20篇研究,提炼出87个研究结果,归纳形成10个新类别,总结得出4个整合结果:HIV感染者/AIDS患者感知运动的益处;HIV感染者/AIDS患者运动的动力;HIV感染者/AIDS患者运动的阻碍因素;HIV感染者/AIDS患者对运动锻炼的需求与期望。结论:运动对HIV感染者/AIDS患者的心理和体质健康大有裨益,护理人员应关注患者对运动的认知,引导其感知获益;聚焦患者的正性心理,多角度给予支持;重视患者运动阻碍因素,提供个体化护理;以患者需求为导向,优化干预策略。

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abstractsObjective:Systematic evaluation and integration of the exercise experience of HIV infected/AIDS patients.Methods:Databases including Web of science, PubMed, Embase, Cochrane Library, CINAHL, PsycINFO, Wangfang Database, CNKI, SinoMed and Vip were searched, from their inception to January 31, 2024, to collect qualitative studies on HIV infected/AIDS patients′ experience of exercise. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. The results were integrated by integrating methods.Results:A total of 20 studies were included. 87 complete findings were grouped according to similarities to form 10 new categories.These categories resulted in 4 synthesized findings: perceived benefits of exercise in HIV infected/AIDS patients; motivation of exercise in HIV infected/AIDS patients; obstructive factors of exercise in HIV infected/AIDS patients; the needs and expectations of HIV infected/AIDS for exercise.Conclusions:Exercise is a supportive nursing choice for HIV infected/AIDS patients during the treatment process, and nursing staff should pay attention to the patients′perception of exercise and guide their perception of benefits. Focus on the patients′ positive psychology and provide support from multiple perspectives. Pay attention to the factors that hinder patient movement and provide personalized care. Targeting patient needs and optimizing home exercise intervention methods.

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