循证护理预防组织移植和再植术后血管危象发生的meta分析

A Meta-analysis of evidence-based nursing in preventing vascular crisis after tissue transplantation and replantation

目的评价循证护理在预防组织移植和再植术后发生血管危象中的作用。方法通过计算机检索Web of Sicence、PubMed、EMbase、中国知网、万方数据库,收集从建库至2018年7月公开发表的关于循证护理应用于组织移植和再植的临床随机对照试验或半随机对照试验研究,提取资料,采用RevMan5.3软件进行meta分析。结果共纳入17篇文献。meta分析显示,在组织移植术研究中,循证护理组血管危象发生率明显低于常规护理组,而治愈率和护理满意度明显高于常规护理组,差异均有统计学意义(P<0.005);在断肢再植术研究中,循证护理组血管危象发生率明显低于常规护理组,而治愈率和护理满意度明显高于常规护理组,差异均有统计学意义(P<0.005)。循证护理组汉密顿焦虑量表评分低于常规护理组,差异有统计学意义(P<0.001)。结论循证护理能有效降低组织移植和再植术后血管危象的发生率,提高患者治愈率和护理满意度,并缓解患者焦虑、抑郁情绪。

Objective To Evaluate the role of evidence-based nursing in preventing vascular crisis after tissue transplantation and replantation.Methods By searching the databases of Web of Sicence,PubMed,EMbase,CNKI and Wanfang by computer,the data of clinical randomized controlled trials or semi-randomized controlled trials of evidence-based nursing applied in tissue transplantation and replantation were collected and analyzed by RevMan 5.3 software.Results A total of 17 articles were included.Meta-analysis showed that in the study of tissue transplantation,the incidence of vascular crisis in the evidence-based nursing group was significantly lower than that in the routine nursing group,while the cure rate and the nursing satisfaction were significantly higher than those in the routine nursing group,and the differences were statistically significant(P<0.005);in the study of replantation of amputated limbs,the incidence of vascular crisis in the evidence-based nursing group was significantly lower than that in the routine nursing group,while the cure rate and the nursing satisfaction were significantly higher than those in the routine nursing group,and the differences were statistically significant(P<0.005).The score of Hamilton Anxiety Scale in the evidence-based nursing group was lower than that in the routine nursing group,and the difference was statistically significant(P<0.001).Conclusion Evidence-based nursing can effectively reduce the incidence of vascular crisis after tissue transplantation and replantation,improve the cure rate and the nursing satisfaction of patients,and alleviate anxiety and depression of patients.