综合护理干预对住院患者失禁性皮炎预防效果的meta分析

Effect of comprehensive nursing intervention for preventing incontinence-associated dermatitis in hospitalized patients: a meta analysis

目的 系统评价综合护理干预对住院患者失禁性皮炎(IAD)的预防效果。方法 计算机检索中国知网数据库、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、the Cochrane Library、Embase、Web of Science等国内外数据库,查找有关综合护理干预与IAD的随机对照试验,由2名研究者严格按照纳入和排除标准独立筛选文献,并进行质量评价提取数据,对符合标准的文献采用RevMan5.3软件进行Meta分析。结果 共纳入符合标准文献10篇(合计1 248例患者,其中试验组628例,对照组620例)。Meta分析结果显示:常规组IAD发生率均高于试验组,差异均有统计学意义(RR=0.45,95%CI:0.36~0.55,P<0.000 01);试验组IAD严重程度较常规组差异无统计学意义(MD=-4.51,95%CI:-10.14~1.11,P=0.12)。试验组护理满意度均高于常规组,差异有统计学意义(OR=3.79,95%CI:2.19~6.56,P<0.000 01)。结论 综合护理干预预防IAD效果较常规护理更显著。

Objective To systematically evaluate the preventive effect of comprehensive nursing intervention on incontinence-associated dermatitis(IAD) in the inpatients.Methods The randomized controlled trials(RCT) on the comprehensive nursing intervention and IAD were retrieved by computer from the databases of CNKI database, Wanfang Database, VIP database, Chinese Biomedical literature Database, PubMed, the Cochrane Library, Embase, Web of Science at home and abroad.The two researchers independently screened the literatures strictly according to the inclusion criteria, evaluated the quality and extracted the data.The meta analysis was performed on literatures meeting the criteria by using Revman 5.3 software.Results A total of 10 articles meeting the standard were included(a total of 1 248 patients, including 628 cases in the experimental group and 620 cases in the control group).The meta analysis results showed that: the incidence rate of IAD in the routine group was higher than that in the experimental group, and the difference was statistically significant(RR=0.45,95%CI:0.36-0.55),P<0.000 01).The severity of IAD had no statistical difference between the experimental group and conventional group(MD=-4.51,95%CI:-10.14-1.11,P=0.12).The nursing satisfaction in the experimental group was higher than that in the conventional group, and the difference was statistically significant(OR=3.79,95%CI:2.19-6.56,P<0.000 01).Conclusion The effect of comprehensive nursing intervention in preventing IAD is more significant than that of the conventional nursing.