青少年炎症性肠病患者过渡期质性心理体验的Meta整合 [中文引用][英文引用]

目的 系统评价青少年炎症性肠病患者过渡期的心理特征，为医护人员制定青少年炎症性肠病患者过渡期管理方法提供循证依据。方法 系统检索 The Cochrane Library，PubMed，Web of Science，CINAHL，Embase，SinoMed，CNKI，万方和维普数据库，搜索建库至 2024 年 5 月 24 日青少年炎症性肠病患者过渡期的相关质性研究，对符合标准的文献进行系统评价，通过 Meta 整合中的汇集性整合方法整理分析相关主题。结果 共纳入 12 篇文献，提炼出 13 个研究结果，归纳分类和整合成为5 个类别：自身发展挑战、医疗体系衔接障碍、家庭支持冲突、社交适应困难、社会支持系统缺失。结论 青少年炎症性肠病患者过渡期心理体验复杂，自身心理负担过重，医疗支持不足以及缺少社会认同，需进一步改善青少年炎症性肠病患者过渡期心理体验。

Objective To systematically evaluate the psychological characteristics of adolescent inflammatory bowel disease （IBD）patients during the transition period and provide evidence-based guidance for healthcare professionals in developing transition management strategies. Methods A systematic search was conducted across The Cochrane Library, PubMed, Web of Science, CINAHL, Embase, SinoMed, CNKI, Wanfang, and VIP databases for qualitative studies on adolescent IBD patients during transition, from database inception to May 2024. Eligible studies were critically appraised, and themes were synthesized using the meta-aggregation approach of meta-synthesis. Results Twelve studies were included, yielding 13 findings that were synthesized into five categories：selfdevelopment challenges, healthcare system transition barriers, family support conflicts, social adaptation difficulties, and lack of societal support systems. Conclusion Adolescents with IBD experience complex psychological challenges during transition, characterized by excessive psychological burdens, inadequate healthcare support, and insufficient societal recognition. Targeted interventions are needed to improve psychological outcomes during this critical phase.