摘要
目的 应用Meta分析评价多媒体视频宣教与传统宣教对髋关节置换术后患者康复训练的效果.方法 检索Elsevier、PubMed、EMbase、Medline、SCI等英文数据库及万方、中国知网、中国生物医学文献数据库等中文数据库,检索文献的发表日期截至2016年7月1日.收集比较多媒体视频宣教与传统宣教对髋关节置换术患者康复训练效果的随机或非随机同期对照试验.由2名骨科护理人员筛选文献、提取文献资料以及评价文献质量后,采用RevMan 5.2软件进行Meta分析.结果 最终纳入6篇随机对照研究,4篇非随机对照研究,共1197例患者.Meta分析结果显示：多媒体视频宣教有助于提高患者术后1个月、3个月、6个月Harris评分分别为[MD=6.95,95%CI（5.77,8.13）,P〈0.05;MD=9.71,95%CI（7.53,11.89）,P〈0.05;MD=8.32,95%CI（4.46,12.17）,P〈0.05],降低并发症发生率[（OR=0.25,95%CI（0.15,0.42）,P〈0.05];减少患者住院时间[（MD=-0.75,95%CI（-1.42,-0.08）,P〈0.05],提高患者康复知识知晓率[（OR=2.55,95%CI（1.36,4.79）,P〈0.05].结论 多媒体视频宣教可更好地促进髋关节置换术后患者的功能恢复,缩短住院时间,减少术后并发症的发生.建议临床推广使用.
Objective Using Meta-analysis method to evaluate the effect of multimedia video education and traditional education for hip replacement patients.Methods Databases including Elsevier, PubMed,EMbase,Medline,SCI,CNKI,CBM and WanFang Data were searched to collect the randomized controlled trails （RCTs） and non-RCTs regarding multimedia video education versus traditional education for hip replacement surgery patients. The retrieval time was from early available time to July 1st 2016.The data were collected and evaluated by two orthopedic nurses independently. The Meta-analysis was conducted by using RevMan5.2 software.Results A total of six RCTs and four non-RCTs involving 1197 patients were included. The results of Meta analysis showed that,the multimedia video education can improve the harris scores of one month [MD=6.95,95%CI（5.77,8.13）,P〈0.05],three months [MD=9.71,95%CI（7.53,11.89）,P〈0.05] and six months [MD=8.32,95%CI（4.46,12.17）,P〈0.05] after surgery,reduce the incidence of complications [OR=0.25,95%CI（0.15,0.42）,P〈0.05],decrease the hospital stays of patients [MD=-0.75,95%CI （-1.42,-0.08）,P〈0.05] and increase patients＇ awareness rate of rehabilitation knowledge [OR=2.55,95%CI （1.36,4.79）,P〈0.05].Conclusions Multimedia video education is superior to traditional education for hip replacement surgery patients,and with shorter hospital stays,lower complication rate postsurgery,multimedia video education should be promoted in clinic.
出处
《中华现代护理杂志》
2017年第6期832-836,共5页
Chinese Journal of Modern Nursing
关键词
关节成形术
置换
髋
多媒体
康复
META分析
Arthroplasty, replacement, hip
Multimedia
Rehabilitation
Meta-analysis
