延续护理对结肠造口患者自护能力及生活质量的影响Meta分析

Influence of Extended Nursing on Quality of Life and Self-care Ability of Patients with Colostomy: A Meta-analysis

目的系统评价延续护理对结肠造口患者自护能力及生活质量的影响。方法通过The Cochrane Library、PubMed、Medline、中国知网(CNKI)、维普中文期刊数据库(VIP)、中国生物医学文献数据库(CBM)、万方数据库,检索关于延续护理干预结肠造口患者的随机对照试验,并采用RevMan 5.2进行Meta分析。结果共纳入8篇文献。结果显示延续护理组与常规护理组相比,自我护理能力实施量表(Exercise of Self-care Agencyscale,ESCA)中自护能力总分更高[SMD=1.67,95%CI=(1.16,2.18),P<0.00001],欧洲癌症研究与治疗组织的生活核心量表中,生活质量评价更高[SMD=1.11,95%CI=(0.84,1.38),P<0.00001];延续护理组与常规护理组相比,并发症发生率更少[RR=0.13,95%CI=(0.03,0.24),P<0.00001]。结论延续护理可提高结肠造口患者的自护能力,改善其生活质量。

Objective To systematically review the effect of extended nursing on self-care ability and quality of life of patients with colostomy. Methods Documents from Cochrane Library, MEDLINE, PubMed, VIP, CBM and WANFANG Data, which included randomized controlled trials（RCT） of extended nursing to patients with colostomy were included and then meta-analysis was performed by RevMan 5.2. Results Eight RCTs were involved into the Meta-analysis. The results of the Meta-analysis indicated that the patients receiving extended nursing had a better result of ESCA（Exercise of Self-care Agencyscale） [ SMD=1.67,95CI%=（1.16,2.18）,P0.00001] and EQRTC QLQ-C30（The Europe Organization for Research and Treatment of Cancer, Quality of Life Questionnaire-Core30）[SMD=1.11,95CI%=（0.84,1.38）,P0.00001]; there was a lower rate of complication in extended nursing group than that in routine nursing group [RR=0.13,95CI%=（0.03,0.24）, P0.00001]. Conclusion Extended nursing can improve the selfcare ability and the quality of life of patients with colostomy.