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| 肥胖症患者病耻感体验质性研究的Meta整合 |
| Meta-integration of qualitative studies on the experience of stigma among patients with obesity |
| 投稿时间：2026-06-01 修订日期：2026-07-13 |
| DOI： |
| 中文关键词: 肥胖症 病耻感 质性研究 Meta整合 |
| 英文关键词:Obesity Stigma Qualitative Research Meta-Integration |
| 基金项目:2024年度安徽省中医药学会中医药科研项目,编号:2024ZYYXH016；2024年中青年教师培养行动项目,编号:JNFX2024025；安徽中医药大学2024高校科研计划编制项目,编号:2024AH052735 |
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| 中文摘要: |
| 目的:系统整合肥胖症患者在日常生活与就医场景中所体验到的病耻感经历,为减轻该群体病耻感提供理论依据与实践参考。 方法:计算机检索 PubMed、Web of Science、Embase、Cochrane Library、CINAHL、中国生物医学文献数据库(CBM)、万方、维普、中国知网(CNKI)等中英文数据库,搜集自建库至 2025 年 9 月公开发表的肥胖症患者病耻感相关质性研究。采用澳大利亚 JBI 循证卫生保健中心 2016 版质性研究质量评价标准对纳入文献进行方法学质量评估,运用汇集性整合方法对研究结果进行归纳与整合分析。结果:最终纳入 25 篇文献,从中提取 88 个研究结果,进一步归纳形成 7 个类别,最终凝练出 3 个整合结果:肥胖症患者病耻感的来源、病耻感对肥胖症患者的多维度影响、肥胖症患者病耻感的应对策略。结论:本研究探索了肥胖症病人病耻感相关经历,发现病耻感给病人带来了消极影响,而不同病人对病耻感的应对策略不同。临床护士可针对病人对病耻感的应对策略进行有效干预,以降低或消除其病耻感。 |
| 英文摘要: |
| Objective: To systematically integrate the experiences of stigma that obese patients encounter in their daily lives and medical treatment scenarios, providing theoretical basis and practical references for reducing the stigma of this group. Methods: Computerized searches were conducted in PubMed, Web of Science, Embase, Cochrane Library, CINAHL, Chinese Biomedical Literature Database (CBM), Wanfang, VIP, and China National Knowledge Infrastructure (CNKI) to collect qualitative studies on the stigma of obese patients published from the establishment of the databases to September 2025. The methodological quality of the included studies was evaluated using the 2016 version of the Qualitative Research Quality Assessment Tool of the Joanna Briggs Institute (JBI) Evidence-Based Health Care Program. The convergent integration method was used to summarize and integrate the research results. Results: A total of 25 studies were included, [1]from which 88 research results were extracted and further categorized into 7 classes. Ultimately, 3 integrated results were distilled: the sources of stigma in obese patients, the multi-dimensional impacts of stigma on obese patients, and the coping strategies of obese patients against stigma. Conclusion: This study explored the experiences of stigma among obese patients and found that stigma has negative impacts on patients, and different patients have different coping strategies against stigma. Clinical nurses can effectively intervene based on the coping strategies of patients against stigma to reduce or eliminate their stigma. |
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