董欣铭,于天琦,曹梦珂,王 玉,许翠萍

    1.山东中医药大学护理学院,山东 250098;2.山东大学附属儿童医院;3.山东第一医科大学第一附属医院

    经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheter,PICC)是将导管经头静脉、贵要静脉、肘正中静脉等外周静脉穿刺置入上腔静脉或下腔静脉的技术[1],该技术的应用有效减少了反复穿刺与化疗药物外渗等对血管造成的损伤[2]。对于病人而言,PICC技术在带来用药方便的同时,也会产生不同程度的不良体验,如知识缺乏导致的焦虑、置管带来的经济压力、导管相关并发症的发生等[3]。近年来,国内外学者开始关注PICC置管病人的真实体验及感受,相关领域的质性研究也逐渐增多,但单一的质性研究结果无法系统反映病人置管过程中的真实体验及感受。因此,本研究通过全面检索PICC置管病人真实体验的质性研究,利用Meta整合方法,全面诠释PICC置管病人的真实体验,为临床制定针对性干预措施提供参考依据。

    1 资料与方法

    1.1 文献检索策略

    计算机检索PubMed、Web of Science、EMbase、the Cochrane Library、中国知网、万方数据库、维普数据库,检索时限为建库至2023年3月31日。英文检索词:PICC/catheterization,peripheral/PICC placement*/ PICC line*;emotion*/feeling*/experience/ psychological;qualitative research/qualitative study*/need*/interview/theory等。中文检索词:中心静脉置管,中心静脉导管,经外周静脉穿刺中心静脉导管,PICC;真实体验,感受,经历;质性研究,现象学,扎根理论,民族志等。以PubMed为例,检索策略为:((catheterization,peripheral[MeSH Terms]) OR (peripheral catheterization[Title/Abstract] OR catheterizations,peripheral[Title/Abstract] OR peripheral catheterizations[Title/Abstract] OR catheterization,bronchial[Title/Abstract] OR bronchial catheterization[Title/Abstract] OR bronchial catheterizations[Title/Abstract] OR catheterizations,bronchial[Title/Abstract] OR peripherally inserted central catheter line insertion[Title/Abstract] OR PICC placement[Title/Abstract] OR PICC placements[Title/Abstract] OR placement,PICC[Title/Abstract] OR placements,PICC[Title/Abstract] OR PICC line placement[Title/Abstract] OR PICC line placements[Title/Abstract] OR placement,PICC line[Title/Abstract] OR placements,PICC line[Title/Abstract] OR PICC line catheterization[Title/Abstract] OR catheterization,PICC line[Title/Abstract] OR catheterizations,PICC line[Title/Abstract] OR PICC line catheterizations[Title/Abstract] OR catheterization,peripheral arterial[Title/Abstract] OR peripheral arterial catheterization[Title/Abstract] OR arterial catheterizations,peripheral[Title/Abstract] OR catheterizations,peripheral arterial[Title/Abstract] OR peripheral arterial catheterizations[Title/Abstract] OR arterial catheterization,peripheral[Title/Abstract] OR peripheral venous catheterization[Title/Abstract] OR catheterizations,peripheral venous[Title/Abstract] OR peripheral venous catheterizations[Title/Abstract] OR venous catheterizations,peripheral[Title/Abstract] OR venous catheterization,peripheral[Title/Abstract] OR catheterization,peripheral venous[Title/Abstract])) AND ((emotions[MeSH Terms]) OR (emotion[Title/Abstract] OR regret[Title/Abstract] OR regrets[Title/Abstract] OR feelings[Title/Abstract] OR feeling[Title/Abstract] OR experience[Title/Abstract] OR mental[Title/Abstract] OR inner[Title/Abstract] OR phychological[Title/Abstract]))AND ((qualitative research[MeSH Terms]) OR (research*,qualitative[Title/Abstract] OR qualitative study*[Title/Abstract] OR theory[Title/Abstract] OR phenomenological[Title/Abstract] OR study,qualitative[Title/Abstract] OR qualitative research[Title/Abstract] OR qualitative[Title/Abstract] OR need*[Title/Abstract] OR interview[Title/Abstract])) ......