振动排痰护理对老年慢性阻塞性肺疾病干预效果的meta分析

Meta analysis of the intervention effect of vibration expectoration nursing on elderly patients with chronic obstructive pulmonary disease

目的通过meta分析的方法系统评价振动排痰护理对老年慢性阻塞性肺疾病(COPD)的干预效果。方法通过检索中国知网、万方数据库、维普、中国生物医学文献数据库、PubMed,收集振动排痰与人工扣背排痰护理老年COPD的随机对照试验,检索时段为自建库至2021年7月。通过RevMan 5.3软件进行meta分析。结果共纳入文献9篇,meta分析结果显示,振动排痰护理在改善COPD老年患者的24 h排痰量[WMD=8.87,95%CI(5.62,12.12),P<0.00001]、动脉血氧分压[WMD=11.56,95%CI(6.60,16.52),P<0.00001]等方面均显著高于人工扣背排痰护理;住院时间[WMD=-6.10,95%CI(-10.65,-1.54),P=0.009]显著短于人工扣背排痰护理。结论振动排痰护理对COPD老年患者的干预效果优于人工扣背排痰护理,具有临床推广价值。

Objective To systematically evaluate the intervention effect of vibration expectoration nursing on elderly chronic obstructive pulmonary disease(COPD)by meta method.Methods Randomized controlled trials of vibration expectoration and artificial backbuckling expectoration in the care of elderly COPD were collected by searching CNKI.com,Wanfang Data,VIP,China Biomedical Literature Database and PubMed.The search period was from self-built database to July 2021.Meta-analysis was performed by RevMan 5.3 software.Results A total of nine literatures were included.The results of meta-analysis showed that vibration sputum excretion nursing was significantly higher than manual sputum excretion nursing in improving 24-hour sputum excretion(WMD=8.87,95%CI[5.62,12.12],P<0.00001),arterial oxygen partial pressure(WMD=11.56,95%CI[6.60,16.52],P<0.00001)and hospital stay[WMD=-6.10,95%CI(-10.65,-1.54),P=0.009]was shorter than manual sputum excretion nursing.Conclusion The intervention effect of vibration sputum drainage nursing on elderly patients with COPD is better than that of artificial back buckle sputum drainage nursing,which has clinical popularization value.