以家庭为中心的护理对ICU病人家属干预效果的系统评价

Systematic evaluation on intervention effect family-centred care on family members of patients in ICUs

[目的]系统评价以家庭为中心的护理(FCC)对重症监护室(ICU)病人家属的干预效果。[方法]检索PubMed、the Cochrane Library、Web of Science、EBSCO、EMBASE、Ovid、中国知网(CNKI)、万方数据库和维普数据库中关于FCC对ICU病人家属干预的随机对照试验(RCT)或类实验性研究,检索时限从建库至2018年9月。采用RevMan 5.3软件进行数据分析。[结果]共纳入7项RCT,Meta分析结果显示:在常规干预基础上接受FCC的ICU病人家属焦虑水平低于单纯接受常规干预的ICU病人家属[SMD=-0.82,95%CI(-1.64,-0.01),P=0.05],压力水平低于单纯接受常规干预的ICU病人家属[SMD=-0.23,95%CI(-0.32,-0.15),P<0.000 01]。[结论]现有证据表明:在常规干预基础上实施FCC后,ICU病人家属的焦虑情绪及压力改善,其效果好于单纯进行常规干预。

Objective:To systematically evaluate the effect of family-centred care(FCC)for family members of patients in intensive care unit(ICU).Methods:Databases including PubMed,the Cochrane Library,Web of Science,EBSCO,EMBASE,Ovid,CNKI,Wanfang Data and VIP were searched for randomized controlled trials(RCT)or similar experimental studies on FCC intervention for family members of patients in ICUs.The retrieval time was from inception to September 2018.RevMan 5.3 software was used for data analysis.Results:A total of 7 RCT were included.Meta-analysis showed that anxiety levels of ICU patients′family members who receiving FCC based on routine intervention were lower than those only receiving routine intervention[SMD=-0.82,95%CI(-1.64,-0.01),P=0.05].And their stress levels were lower than those only receiving routine intervention[SMD=-0.23,95%CI(-0.32,-0.15),P<0.000 01].Conclusions:Present evidences showed that after the implementations of FCC on the basis of routine intervention,the improvement of anxiety and stress of ICU patients′family members were better than those only receiving routine intervention.