摘要
目的：采用Meta分析的方法探讨临床护理路径在经蝶垂体瘤切除术患者中的应用效果。方法计算机检索中国学术期刊全文数据库（ CNKI）、中文科技期刊全文数据库（ VIP）、万方数据库等，检索关于临床护理路径应用于经蝶垂体瘤切除术患者的临床随机对照实验文献，按一定的标准筛选文献。采用RevMan 5．0软件进行Meta分析。结果共纳入5篇临床对照研究，包括258例经蝶垂体瘤切除术患者，其中临床护理路径组129例，对照组129例。 Meta分析结果表明：临床护理路径组患者平均住院时间明显少于对照组（WMD＝-4．03，95％CI＝-4．59∽-3．46，P＜0．01），住院费用显著低于对照组（WMD＝-3848．35，95％CI＝-4601．94∽-3094．76，P＜0．01），满意度明显高于对照组（WMD＝1．14，95％CI＝1．04∽1．25，P＜0．01），知识掌握度明显高于对照组（WMD＝1．29，95％CI＝1．13∽1．48，P＜0.01）。结论经蝶垂体瘤切除术患者实施临床护理路径，能明显降低平均住院时间及住院费用，提高患者满意度及对知识的掌握度。
Objective To evaluate the application effect of clinical nursing pathways on transsphenoidal resection of pituitary adenoma patients by using the Meta-analysis.Methods Published randomized controlled trials（ RCT） in transsphenoidal resection of pituitary adenoma patients were searched and screened in CNKI , VIP,Wanfang database under present standards .The quality of the included studies which by certain standards was evaluated.The Revman 5.0 software was taken for analysis .Results Totally 5 studies including 258 cases were eligible to the criteria （129 inclinical nursing pathways group and 129 in the traditional group） together. The Meta-analysis showed there were significant difference between the clinical nursing pathway group and the traditional group in hospitalization days （ WMD =-4.03, 95%CI =-4.59 - -3.46, P 〈0.01 ）, hospitalization expenses（WMD=-3 848.35,95%CI=-4 601.94--3 094.76,P〈0.01）, rate of patients’ satisfaction（WMD=1.14,95%CI=1.04-1.25,P〈0.01 ）, rate of mastering knowledge of nursing pathway group（WMD=1.29,95%CI=1.13 -1.48,P〈0.01）.Conclusions Clinical nursing pathway is superior compared with the traditional group for patients undergoing transsphenoidal resection of pituitary adenoma .
出处
《中华现代护理杂志》
2014年第28期3566-3569,共4页
Chinese Journal of Modern Nursing
关键词
临床护理路径
经蝶垂体瘤切除术
META分析
Clinical nursing pathway
Transsphenoidal resection of pituitary adenoma
Meta-analysis
