摘要
目的对临床护理路径在急性心肌梗死(acute myocardial infarction,AMI)患者中的应用进行荟萃分析。方法计算机检索Pubmed、Elsevier、CNKI、CBM、万方数据库,收集运用临床路径护理AMI患者的随机对照研究,进行文献质量评价后,采用Revman 5.1.2统计软件进行分析。结果共纳入文献6篇,病例共523例。临床护理路径组与传统健康教育组在患者平均住院时间(MD=-3.90,Z=3.94,P<0.01)、平均住院费用(SMD=-4.09,Z=3.79,P<0.01)、健康知识达标率[OR=6.54,95%CI(2.80,15.28),P<0.01]、满意率[OR=5.27,95%CI(2.37,11.72),P<0.01]、并发症发生率[OR=0.25,95%CI(0.11,0.59),P<0.01]方面,差异均有统计学意义。结论应用临床护理路径,可减少AMI患者住院时间及住院费用,提高患者健康知识达标率及满意率,降低患者并发症。但由于纳入文献总体质量不高,有待更多大样本的、多中心合作的、设计严谨的随机对照试验来进一步证实其有效性。
Objective To evaluate the effect of clinical care pathway on acute myocardial infarction patients. Methods Data from Pubmed, Elsevier, CNKI, CBM and Wanfang had been searched and all the randomized controlled trials on clinical care pathway in nursing of acute myocardial infarction patients were collected. The software Revman 5.1.2 was used to analyze the outcomes. Results Six randomized controlled trials comprising 523 cases were included. There were statistically significant differences between clinical care pathway group and conventional education group in hospital stay （MD = -3.90, Z = 3.94, P 〈 0.01 ）, hospital cost （SMD = -4. 09, Z = 3.79, P 〈 0.01 ）, success rate of health education （ OR = 6. 54,P 〈 0.01 ）, patient satisfaction （ OR = 5.27,P 〈 0.01 ） and complication incidence （ OR = 0. 25, P 〈 0.01 ） in acute myocardial infarction patients. Conclusion Clinical care pathway can reduce hospital stay and hospital cost, improve success rate of health education and patient satisfaction, and decline complication incidence in acute myocardial infarction patients. However, because of the low quality of the included trials, the results should be confirmed by large-scale, multicenter and rigorous designed randomized controlled trials.
出处
《上海护理》
2015年第1期16-19,共4页
Shanghai Nursing
关键词
急性心肌梗死
临床护理路径
荟萃分析
Acute myocardial infarction
Clinical care pathway
Meta-analysis
