循证护理预防脑卒中并发肺部感染的meta分析
| 作者: |
1艾秀华,
1王会萍,
1王振玲,
1翟南囡,
1王艳玲
1 煤炭总医院急诊科，北京 100028 |
| 通讯: |
艾秀华
Email: aixiuhua@hotmail.com |
| DOI: | 10.3978/j.issn.2095-6959.2016.10.005 |
摘要
目的：评价循证护理在脑卒中患者并发肺部感染防治中的效应。方法：系统检索Cochrane Library、PubMed、EMBASE、万方数据库、中国期刊网全文数据库(CNKI)、中国科技期刊数据库(VIP)、中国生物医学文摘数据库(CBM)。按照循证医学meta分析的方法，逐一评价纳入文献的质量，并提取有效数据，采用RevMan 5.3软件进行分析。结果：共纳入14篇文献，共计受试者2 593例，入选研究质量普遍偏低。循证护理组较之常规护理组肺部感染发生率及治愈率的合并效应量RR值及95%可信区间分别为：(RR =0.46，95%CI：0.39~0.53，P<0.00001)和(RR =2.04，95%CI：1.25~3.34，P=0.004)。结论：循证护理可降低脑卒中患者肺部感染的发生率，提高治愈率。
关键词：
循证护理
脑卒中
肺部感染
meta分析
A meta-analysis of evidence-based nursing to prevent and control the pulmonary infection of patients with stroke
CorrespondingAuthor: AI Xiuhua Email: aixiuhua@hotmail.com
DOI: 10.3978/j.issn.2095-6959.2016.10.005
Abstract
Objective: To assess the efficacy of evidence-based nursing in preventing and controlling the pulmonary infection of patients with stroke. Methods: The databases of Cochrane Library, PubMed, EMBASE, Wanfang, CNKI, VIP and CBM were searched systematically. The method recommend by the Cochrane collaboration was used to evaluate the quality of included studies, and extract the available data. RevMan 5.3 software was used for meta-analysis. Results: Fourteen trials involving 2 593 subjects were included. The quality of the studies included were of low level. The results of meta-analyses indicated that evidence-based nursing showed significantly effects on the incidence and the cure rate for pulmonary infection of patients with stroke compared with control group, with RR =0.46; 95%CI: 0.39~0.53; P<0.00001 and RR =2.04; 95%CI: 1.25~3.34; P=0.004, respectively. Conclusion: The evidence-based nursing appears to reduce the incidence of the pulmonary infection with stroke, and improve the cure rate.