摘要
[目的]系统评价延续护理对慢性阻塞性肺疾病(COPD)病人生活质量的影响。[方法]计算机检索Cochrane图书馆临床对照试验资料库(建库至2015年4月)、MedLine(1980年—2015年4月)、EMbase(1974年—2015年4月)、AMED(1985年—2015年4月)、CINAHL(建库至2015年4月)、中国生物医学文献数据库(CBM)、中国知网(CNKI)、维普(VIP)和万方数据库(WanFang Data),收集所有延续护理对COPD病人生活质量影响的随机或半随机对照试验。由两名研究者按照纳入和排除标准筛选文献并提取资料,参考Cochrane Handbook的质量评价标准进行质量评价,并用RevMan 5.3软件进行Meta分析。[结果]共纳入21项研究,Meta分析结果显示:与常规出院护理比较,延续护理能提高COPD病人的生活质量。[结论]延续护理较常规出院护理能提高COPD病人生活质量。但由于纳入研究文献质量一般,结论尚需大量高质量的研究予以证实。
Objective.To systematically evaluate the influence of continuity of care on the quality of life of patients with chronic obstructive pulmonary disease. Methods. The clinical controlled trials database in Cochrane library （database to April 2015） ,MedLine （1980 to April 2015） ,EMbase （1974 to April 2015） ,AMED （1985- April 2015）,CINAHL （database to April 2015）,China biomedical literature database （CBM）,China HowNet （CNKI） ,VIP （VIP） and Wanfang database （WanFang Data） were searched. All randomized or quasi randomized controlled trials were collected on influence of continuity of care on the quality of life of patients with COPD. According to the inclusion and exclusion criteria,two researchers screened the literatures and extracted the data. Quality evaluation was carried out referring to quality evaluation standard in Cochrane Handbook and Meta analysis was performed by using the RevManS. 3. Results：A total of 21 studies were included, the results of Meta analysis showed that continuity of care could improve the quality of life score of COPD patients compared with routine discharge nursing. Conclusion：Continuity of care could improve the quality of life of patients with COPD compared with routine nursing. However, because the literatures quality in the included researches was general,a lot of high quality of researches are still needed to be used to confirm it.
出处
《循证护理》
2017年第1期11-20,共10页
Chinese Evidence-Based Nursing
基金
成都中医药大学校基金项目
编号:ZRQN1414
关键词
延续护理
慢性阻塞性肺疾病
生活质量
META分析
continuity of care
chronic obstructive pulmonary disease（COPD）
quality of life
Meta analysis
