国内临床护理路径在腹腔镜胆囊切除术患者中应用效果的Meta分析

Application effect of clinical nursing pathways on laparoscopic cholecystectomy patients：a meta analysis

目的探讨国内临床护理路径在腹腔镜胆囊切除术患者中的应用效果。方法计算机检索中国学术期刊全文数据库、中文科技期刊全文数据库、万方数据库等，检索关于临床护理路径应用于腹腔镜胆囊切除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RevMan5．2软件进行Meta分析。结果共纳入29篇临床对照实验，包括5570例腹腔镜胆囊切除患者，其中临床护理路径组2735例，对照组2835例。Meta分析结果表明，临床护理路径组患者住院时间、住院费用少于对照组，SMD分别为-1．169和-3．75，差异均有统计学意义，临床护理路径组患者满意度及健康知识掌握度高于对照组，RR值分别为1．16和1．26，差异均有统计学意义。结论临床护理路径在腹腔镜胆囊切除患者中应用效果明显优于传统护理方法。

Objective The study aimed to evaluate the application effect of clinical pathways in la- paroseopie cholecysteetomy patients by using the meta-analysis. Methods Published randomized controlled trials （RCT） about laparoscopie eholeeystectomy patients were searched and screened in China National Knowledge Infrastructure （CNKI）, China Scientific Joumal Database by VIP, Wanfang Database under present standards. The quality of the included studies was evaluated by certain standards. The Review Manager 5.2 software was used for analysis. Results Totally 29 studies including 5 570 cases were eligible to the criteria （2 753 in the experimental group and 2 853 in the control group） altogether. The meta-analysis showed that the hospitalization time and hospitalization costs in the clinical nursing pathway group were significantly less than those of the control group （SMD=-1.69 and -3.75）, the satisfaction degree and the mastering of health knowledge in the clinical nursing pathway group were significantly higher than those of the control group （RR=1.16 and 1.26）, the differece had statistical significance. Conclusions Apphcation effect of clinical nursing pathways is superior to the traditional nursing method in laparoscopic cholecystectomy patients.