风险管理对胸外科护理质量及患者满意度影响的Meta分析

摘要

目的：评价风险管理对胸外科护理质量及患者护理满意度的影响。方法计算机检索维普数据库(VIP)、中国学术文献总库(CNKI)、万方数据库(WanFang Data)中关于胸外科实施风险管理干预的随机对照试验,由2名研究者按照Cochrane系统评价员手册对文献质量进行严格评价及资料提取,采用RevMan 5.2软件对符合质量标准的研究进行Meta分析。结果共纳入9项随机对照试验,2224例患者。 Meta分析结果显示风险管理能够有效预防和减少胸外科护理不良事件[RR＝0.32,95％ CI(0.11,0.93),Z＝2.09,P<0.05]；风险管理可明显提高胸外科患者的满意度[RR＝1.15,95％ CI(1.12,1.19),Z＝8.65,P<0.01]。结论胸外科实施风险管理有利于改善护理质量,提高患者满意度。%Objective To evaluate the effect of risk management on nursing quality and patient satisfaction in thoracic surgery. Methods We searched randomized controlled trials ( RCTs) related to the risk management of thoracic surgery in VIP database, Chinese National Knowledge Infrastructure ( CNKI ) and Wanfang Data from January 2011 to July 2015. 2 researchers were selected to evaluate the quality of literature and collect information according to the Cochrane system evaluation member handbook 5.1.0, and RevMan 5.2 software was used to analyze the researches that in accordance with quality standards. Results A total of 9 RCTs, 2 224 patients were included in this research. Meta analysis showed that risk managements can significantly prevent and reduce the incidence of nursing adverse events[RR=0.32, 95% CI (0.11, 0.93), Z=2.09,P<0.05]; and improve the patient satisfaction[RR=1.15, 95% CI=(1.12,1.19),Z=8.65,P<0.01]. Conclusions Risk managements can effectively improve the quality of nursing and improve the patient′s satisfaction.