摘要
目的:系统评价延续护理对鼻咽癌放疗患者自我管理效能感的影响。方法:检索多个中英文论文数据库,收集鼻咽癌放疗患者有关延续护理随机对照试验,利用RevMan5.3软件行Meta分析。结果:共纳入5篇随机对照研究,共612例患者。Meta分析结果显示,延续护理干预3个月可改善鼻咽癌放疗患者自我管理效能感的正性态度[MD=4.59,95%CI(2.70,6.47),Z=4.77,P<0.00001]、自我决策[MD=2.38,95%CI(1.93,2.82),Z=10.41,P<0.00001]、自我减压[MD=4.69,95%CI(3.37,6.01),Z=6.96,P<0.00001]维度;而延续护理干预6个月可改善鼻咽癌放疗患者自我管理效能感的正性态度[MD=4.12,95%CI(2.53,5.71),Z=5.08,P<0.00001]、自我决策[MD=3.06,95%CI(2.80,3.32),Z=22.88,P<0.00001]维度。结论:延续护理干预可提高鼻咽癌放疗患者自我管理效能感。
Objective:To systematically evaluate the effects of continuous nursing on self-management efficacy of nasopharyngeal carcinoma(NPC)patients with radiotherapy.Method:Multiple Chinese and English paper databases were searched to collect randomized controlled trials of continuous nursing for NPC patients with radiotherapy.Meta-analysis was performed using RevMan 5.3 software.Results:Five randomized controlled studies were included,involving 612 patients.Meta-analysis showed that continuous nursing intervention for 3 months improved the positive attitude dimension[MD=4.59,95%CI(2.70,6.47),Z=4.77,P<0.00001],self-decision-making dimension[MD=2.38,95%CI(1.93,2.82),Z=10.41,P<0.00001]and selfdecompression dimension[MD=4.69,95%CI(3.37,6.01),Z=6.96,P<0.00001]of self-management efficacy of nasopharyngeal carcinoma radiotherapy patients,while continuing nursing intervention for 6 months improved the positive attitude dimension[MD=4.12,95%CI(2.53,5.71),Z=5.08,P<0.00001]and self-decision dimension[MD=3.06,95%CI(2.80,3.32),Z=22.88,P<0.00001]of self-management efficacy of nasopharyngeal carcinoma radiotherapy patients.Conclusion:Continuous nursing intervention can improve the self-management efficacy of NPC patients with radiotherapy.
作者
刘波
于佳妮
葛满秀
王霁
唐媛媛
LIU Bo;YU Jiani;GE Manxiu;WANG Ji;TANG Yuanyuan(Department of Radiotherapy,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)
出处
《现代医学》
2020年第1期119-124,共6页
Modern Medical Journal
关键词
延续护理
鼻咽癌
放疗
自我管理效能感
META分析
continuous nursing
nasopharyngeal carcinoma
radiotherapy
self-management efficacy
Meta analysis
