综合护理干预对降低我国新生儿静脉留置针致静脉炎发生率效果的Meta分析

Meta analysis of the effect of comprehensive nursing intervention on reducing the incidence of phlebitis caused by venous indwelling needle in Chinese newborns

【目的】探讨国内综合护理措施对降低新生儿留置针静脉炎发生率及严重程度的效果。【方法】系统检索万方数据库、中国学术期刊网全文数据库及中国生物医学文献数据库,收集国内公开发表的新生儿静脉留置针实施综合护理干预的文献,采用Meta分析进行研究,按照纳入、排除标准筛选文献,摘取、汇总整理数据,应用软件Revman5.0和Stata12.0对数据进行定量统计分析。【结果】综合护理干预对新生儿静脉留置针致静脉炎的发生率及静脉炎的严重程度低于常规护理,患儿家长满意度高于常规护理,差异有统计学意义。【结论】对使用静脉留置针的新生儿采取有效的综合护理干预,可有效减少静脉炎的发生、减轻静脉炎的程度,大大提高患儿家长对护理工作的满意度。

[Objective] To explore the effect of comprehensive nursing measures on reducing the incidence and severity of phlebitis caused by venous indwelling needle in Chinese newborns. [ Methods ] Wanfang database, Chinese academic journal full text database （CNKI） and Chinese biomedical literature database （CBM） were systematically retrieved. The literatures of comprehensive nursing intervention for neonatal venous indwelling needle published in China were collected. Meta-analysis method was used in the study. Literatures were screened according to the pre-determined inclusion and exclusion standard. The research data were extracted and quantitatively analyzed via Revman 5.0 and Stata 12.0. [Results] The incidence and severity of phlebitis caused by neonatal venous indwelling needle treated with comprehensive nursing intervention were lower than those with conventional nursing. The parents＇ satisfaction was higher than that with conventional nursing, and the difference was statistically significant. [Conclusion] The comprehensive nursing intervention for the newborns with venous indwelling needles can effectively reduce the occurrence and degree of phlebitis, and greatly improve the satisfaction of the parents to the nursing work.