循证护理对骨科老年病人压疮预防效果的Meta分析

Meta-analysis of effect of evidence-based nursing for prevention of pressure ulcer in orthopedic elderly patients

[目的]评价循证护理在骨科老年病人压疮预防中的应用效果。[方法]计算机检索WanFang Data、CBM、中华医学会全文期刊及中国医院数字图书馆,检索时间为1998年1月—2015年3月,收集有关循证护理预防骨科老年病人压疮效果的随机对照试验。由两名研究者独立筛选文献及提取数据,参考Jadad评分量表进行文献质量评价,采用RevMan 5.2软件进行Meta分析。[结果]共纳入10项随机对照试验,Meta分析结果显示：循证护理组骨科老年病人压疮发生率低于常规护理组[OR=0.16,95%CI（0.10-0.28）,P〈0.000 01]。[结论]循证护理对骨科老年病人预防压疮的效果优于常规护理,但由于纳入研究的总体方法学质量一般,结论尚需更多高质量研究进一步验证。

Objective：To evaluate the application effect of the evidence- based nursing for prevention of pressure ulcer in orthopedic elderly patients. Methods. The databases of WanFang Data, CMA, CHDL and CBM were searched from January 1998 to March 2015. The randomized controlled trials on effect of evidence - based nursing for prevention of pressure ulcer in elderly patients in department of orthopedics were collected. Two researchers independently screened the literatures and extracted the data. The quality of the literatures was assessed by the Jadad Score Scale and Meta-analysis was performed by using RevMan 5.2 software. Results. A total of 10 randomized controlled trials were included. Meta - analysis showed that the incidence of pressure ulcer in the orthopedic elderly patients in evidence -based nursing group was lower than that in routine care group [OR=0.16,95% CI （0. 10 - 0.28）, P〈0. 000 01]. Conclusion.. The effect of evidence - based nursing for the prevention of pressure ulcer in elderly orthopedic patients was better than that in routine nursing group, but more high -quality researches were needed to confirm the quality because of the general quality of overall methodology of included researches.