临床护理路径在急性心肌梗死患者中应用效果的Meta分析

Application effect of clinical nursing pathways on acute myocardial infarction patients：A Meta- analysis

目的采用Meta分析的方法探讨护理路径在急性心肌梗死患者中的应用效果。方法计算机检索中国学术期刊全文数据库（CNKI）、中文科技期刊全文数据库（VIP）、万方数据库等，检索关于临床护理路径应用于心肌梗死患者的临床随机对照实验文献，按一定的标准筛选文献。采用RevMan5．0软件进行Meta分析。结果共纳入18篇临床对照研究，包括1877例急性心肌梗死患者，其中临床护理路径组894例，对照组983例。Meta分析结果表明：实验组患者平均住院时间明显少于对照组，实验组患者满意度及知识掌握度明显高于对照组，实验组患者卧床时间显著低于对照组，实验组患者并发症发生情况显著低于对照组，实验组患者院内心肌梗死再发率显著低于对照组。结论心肌梗死患者实施临床护理路径，能明显缩短其平均住院时间，提高患者满意度及对知识的掌握度，减少并发症的发生，同时还能降低患者卧床时间和院内心肌梗死再发。

Objective To evaluate the application effect of clinical nursing pathways in acute myocardial infarction patients by using the Meta-analysis. Methods Published randomized controlled trials （RCT） in acute myocardial infarction patients were searched and screened in CNKI, VIP, Wanfang database under present standards. The quality of the included studies was evaluated by certain standards. The Review Manager 5.0 software was taken for analysis. Results Totally 18 studies including 1877 cases were eligible to the criteria （894 in the experimental group and 983 in the control group） altogether. The Meta-analysis showed there was significant difference between the experimental group and the control group in hospitalization days, patients＇ satisfaction degree and rate of mastering knowledge. Significant difference existed between the experimental group and the control group in bedridden time, complication rate and the recurrence rate of myocardial infarction. Conclusions Application of clinical nursing pathway in acute myocardial infarction patients can shorten hospitalization days, increase patients＇ satisfaction degree and rate of mastering knowledge, decrease bedridden time, complication rate and the recurrence rate of myocardial infarction.