循证护理在重症急性胰腺炎病人中应用效果的Meta分析

Meta-analysis of application effect of evidence-based nursing on patients with severe acute pancreatitis

目的:评价循证护理在重症急性胰腺炎病人中的应用效果。方法:通过检索中国知网、维普、万方、中国生物医学文献数据库中发表的关于循证护理对重症急性胰腺炎病人应用的随机对照试验,根据拟定的纳入及排除标准筛选文献并对其进行偏倚风险评估和数据提取,采用Revman 5.3软件进行Meta分析。结果:本次研究最终纳入15项临床研究,共有1240例重症急性胰腺炎病人。Meta分析结果显示,病人住院时间[MD=-5.98,95%CI(-7.05,-4.91),P<0.00001]、并发症发生率[OR=0.21,95%CI(0.15,0.30),P<0.00001]、护理满意度[OR=7.22,95%CI(4.64,11.23),P<0.00001]、病死率[OR=0.09,95%CI(0.02,0.34),P=0.0004]、护理有效率[OR=6.46,95%CI(3.37,12.37),P<0.00001]。各方面均表明,循证护理较常规护理有更好的效果,差异均具有统计学意义。结论:循证护理的整体应用效果优于常规护理,能更好地促进病人康复。

Objective:To evaluate the effect of evidence-based nursing on patients with severe acute pancreatitis.Methods:Randomized controlled trials on the application of evidence-based nursing in patients with severe acute pancreatitis were retrieved from CNKI,VIP,Wanfang,and China Biomedical Literature Database.Literature was screened according to the proposed inclusion and exclusion criteria,and bias risk assessment and data extraction were performed.Meta-analysis was performed using RevMan 5.3 software.Results:A total of 15 clinical studies involving 1240 patients with severe acute pancreatitis were included in this study.Meta-analysis results showed that Duration of hospital stay[MD=-5.98,95%CI(-7.05,-4.91),P<0.00001],incidence of complications[OR=0.21,95%CI(0.15,0.30),P<0.00001],nursing satisfaction[OR=7.22,95%CI(4.64,11.23),P<0.00001],fatality rate[OR=0.09,95%CI(0.02,0.34),P=0.00004],nursing efficiency[OR=6.46,95%CI(3.37,2.37),P<0.00001].All aspects showed that evidence-based nursing had better effect than conventional nursing,and the differences were statistically significant.Conclusions:The overall application effect of evidence-based nursing was better than that of routine nursing and can better promote the recovery of patients.