延续护理对我国PICC带管患者血栓发生率影响的贝叶斯Meta分析

Bayesian Meta Analysis of the Effect of Continuing Nursing on the Incidence of Thrombosis in Patients with PICC Tubes in China

目的评价延续护理对我国PICC带管患者血栓发生率的影响。方法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)、中国科技期刊全文数据库(VIP)和万方数据库等中关于延续护理对我国PICC带管患者血栓发生率影响的随机对照试验(randomized controlled trial,RCT),检索时间限定为建库至2018年3月30日。Stata14.0进行异质性判断,WinBUGS14进行贝叶斯Meta分析。结果一共纳入19项研究,其中试验组1457例,对照组1461例。贝叶斯Meta分析结果显示延续性护理能降低我国PICC带管患者血栓发生率[OR=0.231,95%CI(0.1263,0.4242)],差异具有统计学意义。结论延续性护理能降低我国PICC带管患者血栓发生率。

Objective To evaluate the effect of continuing nursing on the incidence of thrombosis in patients with PICC in our country.Methods Using computer to search from the China National Knowledge Internet(CNKI),Chinese Biomedical Literature Database(CBM),Chinese Science and Technology Periodical Full-Text Database(VIP)and Wanfang Database on the effect of extended nursing on the incidence of thrombosis in patients with PICC in China.For randomized controlled trials(RCT),the search time is limited to building the database to March 30,2018.Stata14.0 for heterogeneity,and WinBUGS14 for Bayesian meta-analysis.Results A total of 19 studies were included,including 1457 in the experimental group and 1461 in the control group.Bayesian meta-analysis showed that continuing nursing could reduce the incidence of thrombosis in patients with PICC in China[OR=0.231,95% CI(0.1263,0.4242)],and the difference was statistically significant.Conclusion Continuing nursing can reduce the incidence of thrombosis in patients with PICC in China.