摘要
[目的]系统评价健康教育路径在慢性阻塞性肺疾病(COPD)病人中的应用效果,为临床护理实践提供循证依据。[方法]通过万方、中国知网、中国生物医学文献数据库、维普中文期刊全文数据库等数据库检索健康教育路径应用于COPD病人的效果随机对照试验(RCTs),评价纳入文献的质量并收集相关内容,用RevMan5.3软件进行分析。[结果]总共筛选出22篇文献,共2 428例研究对象(其中路径组1 231例,对照组1 197例)。Meta分析结果表明:健康教育路径组在提高健康知识掌握度、患者满意度、自我护理能力、健康促进行为水平和减少住院天数、住院费用均优于传统健康教育组,差异有统计学意义(P<0.01)。[结论]健康教育路径对COPD病人的疗效优于传统的健康教育。由于纳入分析文献的研究质量普遍不高,还需要大样本的高质量的研究来进一步探讨COPD病人应用健康教育路径疗效的影响。
Objective:To systematically evaluate the application effect of health education path on patients with chronic obstructive pulmonary disease(COPD),in order to provide evidence based basis for clinical nursing practice.Methods:The randomized controlled trials on effect of health education path for patients with COPD were retrieved by Wanfang,CNKI,China biomedical literature database,Chinese VIP journal full text database.The quality of included literatures was evaluated and relevant content was collected and analyzed by RevMan5.3 software.Results:A total of 22 articles,a total of 2428 subjects(1231 in path group and 1197 in control group)were selected.The results of Meta analysis showed that the effect of health education path group was better than that of traditional health education group in improving the degree of health knowledge,patients’satisfaction,self care ability,health promoting behavior level and reducing the hospitalization days and hospitalization costs,there was statistically significant difference(P<0.01).Conclusions:The effect of health education path for patients with COPD was better than that of the traditional health education.Because the quality of research in the analysis papers was not high,a large sample of high quality research was needed to further explore the effect of health education path on patients with COPD.
作者
刘亚男
宋文芳
王卫红
Liu Yanan;Song Wenfang;Wang Weihong(Medical College of Hunan Normal University,Hunan 410000 China)
出处
《全科护理》
2018年第9期1035-1039,共5页
Chinese General Practice Nursing
