【摘要】 目的 系统评价分娩时肛门括约肌损伤产妇的真实体验，为制订针对性护理措施提供参考。方法 计算机检索PubMed、Embase、Web of Science、Medline、中国知网、万方、维普等中英文数据库，检索关于分娩时肛门括约肌损伤产妇真实体验和心理感受的质性研究，检索时限为建库至2022年1月。依据2016版澳大利亚JBI循证卫生保健中心质性研究质量评价标准评价文献质量，利用汇集性整合法进行结果整合。结果 共纳入10篇研究，提炼出91研究结果，将相似结果归纳形成8个新类别，最终得出4个整合结果：对日常生活的影响，对身心方面的影响，产妇缺乏医疗支持与互动，积极恢复、继续生活。结论 护理人员应关注和了解分娩时肛门括约肌损伤产妇的真实体验，识别肛门括约肌损伤高危因素，给予针对性干预措施，同时建立多学科产后随访团队，协助产妇更好地重返社会，提高生活质量。更多还原

【Abstract】 Objective To systematically review women′s experience of obstetric anal sphincter injury following childbirth, and to provide a reference for the future development of targeted nursing measures. Methods Computer assisted search in PubMed, Embase, Web of Science, Medline, CNKI, Wanfang, VIP, etc., was conducted to retrieve qualitative research on women′s experience of obstetric anal sphincter injury following childbirth. The publication date of the literature was limited to a period from the establishment of the database to January 2022. The quality of the literature was evaluated according to the 2016 edition of JBI quality standards for qualitative research, and the results were integrated by the pooled integration method. Results A total of 10 studies were included, and 91 results were extracted, and the similar results were summarized into 8 new categories. Finally, 4 integrated results were obtained: impact on daily life, physical and mental reactions, lack of medical support and interaction, active recovery and moving on. Conclusion Nurses should pay attention to and understand women′s real experience of obstetric anal sphincter injury following childbirth, identify high-risk factors of anal sphincter injury, give targeted intervention measures, and establish a multidisciplinary postpartum follow-up team to help postpartum women better return to society and improve their quality of life.更多还原