摘要
目的:系统评价人文关怀对ICU综合征发生率的影响。方法:用计算机检索中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、维普期刊资源整合服务平台(VIP)、万方数字化期刊全文数据库中关于人文关怀对ICU综合征影响的随机对照研究,采用Review Manager 5.3软件对文献进行Meta分析。结果:经筛选后共纳入15个随机对照研究,共1278例患者。Meta分析结果证实,人文关怀可以减少ICU综合征发生率,优于常规护理方法,合并效应均有统计学意义。其中ICU综合征发生率:[(P = 1.00;I2 = 0%)],采用固定效应模型,[OR = 0.32, 95% CI (0.24, 0.43), Z = 7.51, P 2 = 0%)],采用固定效应模型,[WMD = ?7.64, 95% CI (?8.77, ?6.50), P 2 = 81%)],采用随机效应模型,[WMD = ?7.81, 95% CI (?10.01, ?5.61), P 2 = 0%)],采用固定效应模型,[OR = 5.49, 95% CI (2.57, 11.73), Z = 4.39, P 【0.00001];结论:采用人文关怀对ICU患者进行护理,可以减少ICU综合征的发生,可以减轻患者焦虑和抑郁的程度,提高患者的满意度,明显优于常规护理方法。
Objective: To systematically evaluate the influence of humanistic care on the incidence of ICU syn-drome. Methods: Randomized controlled studies on the influence of humanistic care on ICU syn-drome were retrieved from Chinese journal full text database (CNKI), Chinese biomedical literature database (CBM), technology journals full text database (VIP) and Wanfang Digital Journal Full-text Database by computer. The literature was analyzed by Review Manager 5.3 software. Results: After screening, 15 randomized controlled trials involving 1278 patients were included. Meta-analysis confirmed that humanistic care could reduce the incidence of ICU syndrome, which was superior to conventional nursing methods, and the combined effect was statistically significant. Incidence of ICU syndrome: [(P = 1.00;I2 = 0%)], using Fixed-effect model, [OR = 0.32, 95% CI (0.24, 0.43), Z = 7.51, P 2 = 0%)], using Fixed-effect model, [WMD = ?7.64, 95% CI (?8.77, ?6.50), P 2 = 81%)], using Stochastic Effect Model, [WMD = ?7.81, 95% CI (?10.01, ?5.61), P 2 = 0%)], using Fixed-effect model, [OR = 5.49, 95% CI (2.57, 11.73), Z = 4.39, P
出处
《亚洲急诊医学病例研究》
2019年第2期5-11,共7页
Asian Case Reports in Emergency Medicine
