摘要
目的探讨延续性护理对慢性阻塞性肺疾病患者康复及生活质量的影响。方法利用计算机检索及手工检索的方法，通过中国知网、万方数据、维普数据、PubMed、Embase数据库对国内外公开发表的关于延续性护理对慢性阻塞性肺疾病影响的原始研究，利用meta分析方法评价其疗效。结果最终纳入13项研究共1050例患者，其中延续性护理组526例，常规护理组524例。meta分析显示，延续性护理组生活质量较常规护理组高（WMD：-11．40，95％CI：-17．35--5．46；Z=3．76，P〈0．01），生活质量评估问卷调查显示在出院3个月后，延续性护理所体现出更明显的优势（WMD=-7．58，95％CI：-10．83--4．36；Z=4．58，P〈0．01），出院后急性发作例数延续性护理组明显减少（OR=2．95，95％CI：1．79-4．85；Z=4．26，P〈0．01），患者肺功能恢复情况相对于常规护理组也明显好转（Pa02：WMD=5．88，95％a：2．87～8．89；Z=3．83，P〈0．01；PaC02：WMD=-3．55，95％CI：-4．17--2．53；Z：8．00，P〈0．01；FEVl：WMD=12．00i95％CI：8．24～15．75；Z=6．26，P〈0．01；PEF：WMD=6．30，95％CI：3．16～9．15；Z=3．93，P〈0．01）。结论延续性护理对慢性阻塞性肺疾病的康复具有良好效果，可明显提高其生活质量。
Objective To explore the effects of continuing nursing on rehabilitation and quality of life of pa- tients with chronic obstructive pulmonary disease. Methods By computer retrieval and manual retrieval method, through the CNKI, Wanfang data, VIP, Pubmed, EMBase database of published at home and abroad about the impact of continuity care for chronic obstructive pulmonary disease original researeh＇s effect was evaluated by the meta analysis method. Results Finally, 13 studies were included in 1 050 patients, including 526 patients with continuing nursing and 524 routine nursing care. The meta-analysis showed that the quality of life of the continuing nursing group was high- er than that of the conventional nursing group （WMD = -11.40, 95% CI： -17.35 - -5.46; Z = 3.76, P〈0. 01 ）. The life quality assessment questionnaire survey showed that there was a more obvious advantage in continuing nursing after 3 months of discharge （WMD=-7.58, 95% CI： -10. 83 - -4. 36; Z=4.58, P〈0. 01 ）. There was a signifi- cant decrease in the continuing nursing group after discharge （ OR = 2. 95, 95 % CI： 1.79 - 4. 85 ; Z = 4.26, P〈0.01 ）. The patient＇s pulmonary function was also significantly improved compared with the conventional nursing group （ PaO2 ： WMD=5.88, 95%CI： 2.87-8.89; Z=3.83, P〈0.01; PaCO2： WMD=-3.55, 95%CI： -4.17 --2.53;Z= 8.00, P〈0.01; FEVI： WMD=12.00, 95%CI： 8.24-15.75; Z=6.26, P〈0.01; PEF： WMD=6.30, 95% CI： 3.16 -9. 15 ; Z= 3.93, P〈0. 01）. Conclusion continuing nursing has good effect on the rehabilitation of chro- nic obstructive pulmonary disease, which can obviously improve the patients＂ quality of life.
出处
《国际护理学杂志》
2018年第1期13-18,共6页
international journal of nursing
关键词
延续性护理
慢性阻塞性肺疾病
康复医学
META分析
continuing nursing
Chronic obstructive pulmonary disease
Rehabilitation medicine
meta-analy-sis
