优质护理在中国小儿肺炎护理中应用效果的Meta分析

摘要

目的 系统评价优质护理在中国小儿肺炎护理中应用的效果.方法 检索PubMed、EMBASE、Web of Science、中国期刊全文数据库、万方数据库、中国科技期刊全文数据库、中国生物医学文献数据库从建库到2016 年4月发表的关于优质护理在小儿肺炎护理中应用效果的随机对照试验,并采用系统评价和meta 分析方法进行分析.结果 本研究最终纳入随机对照试验25项共2853例采用优质护理的小儿肺炎病例.Meta分析结果显示,优质护理组与常规护理组在护理满意度(RR=1.23,95％ CI:1.19～1.27,P＜0.01)、护理后疗效的总有效率(RR=1.19,95％ CI:1.16～1.23,P＜0.01)、住院天数(WMD=-3.82,95％ CI:-5.47～-2.17),P＜0.01、体温恢复正常的时间(WMD=-2.39,95％ CI:-3.66～-1.12),P＜0.01)、并发症发生率(RR=0.31,95％ CI:0.22～0.42,P＜0.01)方面差异均有统计学意义.结论 优质护理在小儿肺炎护理中应用的效果优于常规护理.%Objective To systemically review the application effects of high quality nursing on children with pneumonia in China.Methods PubMed,EMBASE,Web of Science,CNKI,VIP,WanFang Data and CBM were searched for randomized controlled trials on application effects of high quality nursing on children with pneumonia published up to Apr.2016.Systematic review and meta-analysis were performed.Results 25 randomized controlled trials including 2853 patients were selected.The meta-analysis showed that there were significant differences on degree of satisfaction(RR=1.23,95％ CI:1.19～1.27,P<0.00001),total effective rate after clinical care(RR=1.19,95％ CI:1.16～1.23,P<0.00001),length of hospital stay(WMD =-3.82,95％ CI:-5.47～-2.17,P<0.00001),body temperature recovery time(WMD=-2.39,95％ CI:-3.66～-1.12,P<0.00001) and rate of complication(RR=0.31,95％ CI:0.22～0.42,P<0.00001) between the two groups.Conclusion High quality nursing is superior to routine nursing on children with pneumonia patients.