摘要
目的:运用meta分析方法系统评价激励式护理干预对自然分娩的影响。方法:系统检索CNKI、VIP、CBM、万方等生物医学数据库,纳入激励式护理干预和常规护理干预对自然分娩的随机对照研究,检索日期截至2012年8月。按照Cochrane系统评价方法评价纳入的研究,提取数据后利用Revman 5.0软件进行统计分析。结果:共纳入3个随机对照研究,Meta分析研究结果显示两组剖宫产率有异质性(P=0.07,I2=62.5%),敏感性分析显示结果无异质性(P=0.27,I2=16.3%),合并效应量OR采用固定效应模型分析OR合并=0.13,其95%CI为(0.07,0.24);产后出血率差异无统计学意义,合并效应量(OR合并=0.64,95%CI为0.26-1.59之间)和无效竖线相交,P=0.33;两组新生儿窒息率Meta分析结果显示有统计学意义(P=0.0004),合并效应量(OR合并=0.14,95%CI为0.05-0.43之间。结论:激励式护理干预组剖宫产率、新生儿窒息率低于常规护理组,产后出血率两组相似,由于本研究纳入文献较少,需要纳入更多的大样本、高质量的随机对照研究来进一步验证此结论。
Objective：To evaluate the influence of encouraging nursing intervention on promoting spontaneous delivery of primipara by using meta analysis.Methods Literatures that reported on the influence of encouraging nursing untervention and control groups. Methods：Total of 3 RCTs were included after Literatures search in databases of CNKI,VIP,CBM,which analyze the reference about the encouraging nursing intervention VS conventional nursing intervention.And revman 5.0 was applied for statistical analysis in the rate of cesarean section,postpartum hemorrhage and asphyxia neonatorum. Results：There were 3 reference included in mata analysis.the result of meta analysis for the rate of postpartum hemorrhage（OR=0.64,95%CI（0.26,1.59）） was no statistical difference; by contrast, there were significant statistical difference for cesarean section （ OR=0.13,95 % CI （ 0.07,0.24 ） ） and asphyxia neonatorum （ OR=0.14,95%CI （0.05,0.43））.Conclusion： Encouraging nursing intervention on promoting spontaneous delivery is superior to the rate of cesarean section and asphyxia neonatorum.we need including more high quality and large samples to improve the Meta analysis.
出处
《甘肃医药》
2014年第3期186-188,共3页
Gansu Medical Journal
