综合护理干预对国内肺结核患者心理状态影响的系统评价

A systematic review of the effect of comprehensive nursing intervention on pulmonary tuberculosis patients in domestic in mentation

目的探讨系统评价护理干预对国内肺结核患者心理状态的应用效果。方法计算机检索中国期刊全文数据库(CNKI)、万方数据库、中文科技期刊全文数据库(VIP)、中国生物医学文献服务系统(SinoMed)。搜集综合护理干预用于肺结核患者心理状态的随机对照试验(RCT),检索年限均为2011年1月~2017年4月。由1名研究者独立筛选文献、提取资料,并评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析。结果最终纳入13个RCT,包括1790例患者。Meta分析结果显示:综合护理干预组中青年、中年、中老年、老年患者SAS评分降幅均较常规护理组明显,差异有统计学意义[MD=6.80,95%CI(5.30,8.30),P<0.000 01;MD=9.35,95%CI(7.06,11.65),P<0.000 01;MD=9.09,95%CI(5.54,12.65),P<0.000 01;MD=28.05,95%CI(24.13,31.97),P<0.000 01]。综合护理干预组中青年、中年、中老年、老年患者SDS评分降幅均较常规护理组明显[MD=9.05,95%CI(5.52,12.58),P<0.000 01;MD=9.47,95%CI(8.11,10.82),P<0.000 01;MD=7.48,95%CI(3.24,11.11),P=0.0004;MD=23.10,95%CI(22.46,23.74),P<0.000 01]。结论综合护理干预能显著缓解肺结核患者的心理状态。

Objective To evaluate the effect of comprehensive nursing intervention on pulmonary tuberculosis patients in domestic in mentation. Methods Databases including CNKI, CBM, VIP and WanFang Data were searched to collect randomized controlled trials （RCTs） related with comprehensive nursing intervention on pulmonary tuberculosis patients in mentation from Janurary in 2011 to April in 2017. One researcher screened literature independently, extracted data and evaluated the risk of bias of included studies. Meta-analysis was performed via RevMan 5.3 software. Results A total of 13 RCTs were included, which involved 1790 patients. The results of meta-analysis showed that the decrease of SAS scores in comprehensive nursing intervention group of the middle-youth-age patients, the middle-age patients, the quinquagenarian patients and the gerontism patients were all significantly higher than that in usual nursing group [MD= 6.80, 95%CI （5.30, 8.30）, P 〈 0.000 01; MD=9.35, 95%CI （7.06, 11.65）, P 〈 0.000 01; MD=9.09, 95%CI （5.54, 12.65）, P 〈 0.000 01; MD=28.05, 95%CI （24.13, 31.97）, P 〈 0.000 01]. The decrease of SDS scores in comprehensive nursing intervention group of the middle-youth-age patients, the middle-age patients, the quinquagenarian patients and the gerontism patients were significantly higher than that in usual nursing group [MD=9.05, 95%CI （5.52, 12.58）, P 〈 0.000 01; MD=9.47, 95%CI （8.11, 10.82）, P 〈 0.000 01; MD=7.48, 95%CI （3.24, 11.11）, P=0.0004; MD=23.10, 95%CI （22.46, 23.74）, P 〈 0.000 01]. Conclusion Comprehensive nursing intervention could effectively improve mental state of patients with pulmonary tuberculosis.