摘要
目的 评价快速康复外科理念(FTs)在老年髋部骨折患者围手术期疼痛管理中的应用效果.方法 检索中国知网、万方数据库、维普网、中国生物医学文献数据库、PubMed和Ovid.收集基于FTS理念的护理措施与常规护理措施干预老年髋部骨折患者围手术期疼痛的临床随机对照研究,对纳入的文献进行质量评价.使用RevMan5.3软件进行Meta分析.结果 本研究纳入文献7篇,共538例患者(FTS组271例,对照组267例).Meta分析结果显示:与常规护理相比,基于FTS理念的护理干预降低了患者手术后的VAS评分[MD=-0.87,95%CI(-1.19,-0.55),P<0.00001).结论 与常规护理相比,基于FTS理念的护理干预可以减轻老年髋部骨折患者围手术期的疼痛,但由于纳入的文献质量不高,上述结论有待更为严谨的设计进行验证.
Objective To investigate the fast-track surgery(FTS)in perioperative pain management of elderly patients with hip fracture. Methods Randomized controlled trials about FTS-based nursing interventions and routine nursing interventions in perioperative pain management of elderly patients with hip fracture were searched in CNKI, Wanfang DATA, CQVIP, CBMdisc, Pubmed and Ovid. Methodological quality of included studies was evaluated, and RevMan5.3 Software was used for Meta-analysis. Results A total of 7 studies met the inclusion criteria(n=271 in FTS group, n=267 in control group). Meta-analysis showed that the FTS-based nursing interventions were more effective in reducing the VAS scores of patients after operation(MD=-0.87, 95%CI=-1.19^-0.55, P<0.00001). Conclusion FTS-based nursing interventions can effectively relieve the pain of elderly patients with hip fracture during perioperative period. Given the poor quality of studies included, the conclusion of this Meta-analysis needs to be verified by more rigorous design.
作者
鲍秀红
胡艳宁
郑素贤
付连琪
严思思
BAO Xiuhong;HU Yanning;ZHENG Suxian;FU Lianqi;YAN Sisi(Guangxi University of Chinese Medicine, Nanning, Guangxi, 530200)
出处
《中西医结合护理（中英文）》
2019年第6期28-32,共5页
Journal of Clinical Nursing in Practice
