安静时间对住院患者影响的系统评价

Effect of Quiet Time on Inpatients:A Systematic Review

目的系统评价安静时间对住院患者的影响。方法计算机检索中国知网、万方数据库、中国生物医学文献服务系统、PubMed、Web of Science、ScienceDirect、Scopus数据库中关于在病房中实施安静时间的文献,检索时限为建库至2020年7月,收集关于安静时间对住院患者影响的干预性研究。根据澳大利亚JBI循证卫生保健中心(2016)对类实验性研究的质量评价工具进行文献质量评价。视纳入研究情况进行描述性分析及Meta分析。结果共纳入10项研究,均为类实验性研究。Meta分析显示,实施安静时间干预的声音水平明显低于对照组[MD=-7.92,95%CI(-11.04,-4.80),P<0.001];安静时间干预对改善患者睡眠有一定的影响,但研究结果存在差异。结论安静时间在使患者获益方面有一定的积极影响,但受纳入研究数量和质量的限制,研究结论还有待更多的实证研究加以验证。

Objective To systematically evaluate the influence of quiet time on inpatients.Methods We searched the databases including CNKI,WangFang,SinoMed,PubMed,Web of Science,ScienceDirect and Scopus for interventional studies on the influence of quiet time for inpatients from the inception to July 2020.The quality of the included articles was evaluated by the JBI Critical Appraisal Tool for qualitative studies in Australia.Descriptive analysis and meta-analysis were also performed.Results Ten experimental studies were included.Meta analysis showed that sound level during quiet time intervention was significantly lower[MD=-7.92,95%CI(-11.04,-4.80),P<0.001];quiet time intervention had a certain effect on improving patients’sleep.However,there were disparities in research results.Conclusion Quiet time has a certain positive effect on patients,but due to the limitation of the number and quality of the included studies,the research conclusions need to be verified by more empirical studies.