摘要
目的评价临床路径在心脏瓣膜置换术后患者健康教育中的应用效果。方法通过计算机检索Cochrane Library、PubMed、EMBASE、CBM、中国知网(CNKI)、万方数据知识服务平台、中国科技期刊数据库等国内外数据库,检索临床路径在心脏瓣膜置换术后患者健康教育中应用效果的随机对照实验,采用Cochrane协作网提供的RevMan5. 3软件对所提取的资料进行统计分析。结果最终纳入文献7篇,共806例研究对象,Meta分析结果显示:健康教育路径有助于改善心脏瓣膜置换术后患者对健康教育知识掌握的情况(Z=6. 32,P <0. 01)、提高健康教育满意度(Z=4. 55,P <0. 01)、提高治疗依从性(Z=2. 79,P <0. 01)、减少并发症的发生(Z=2. 44,P <0. 05)、缩短ICU治疗时间(Z=7. 30,P <0. 01)。结论临床路径应用于心脏瓣膜置换术后患者健康教育中的效果优于传统健康教育。
Objective To evaluate the application efficacy of clinical pathway in health education for patients after heart-valve Replacement. Methods The randomized control trials of clinical pathway in health education for patients after heart-valve replacement were researched in the databases of Cochrane Library, PubMed, EMBASE, CBM, CNKI, Wan Fang database and VIP. RevMan 5.3 software was used to analyze the extracted data of included studies. Results A total of 7 studies including 806 patients were finally analyzed in this meta-analysis. Meta-analysis showed that the clinical pathway of health education was superior to the traditional health education in following areas, including improving disease-related knowledge （ Z =6.32, P 〈0.01） improving patients’ satisfaction degree on nursing service（ Z =4.55, P 〈0.01） and treatment compliance（ Z =2.79, P 〈0.01）, reducing the risk of complications（ Z =2.44, P 〈0.05） and treatment duration in ICU （ Z =7.30, P 〈0.01）. Conclusion Compared with the traditional health education, the clinical pathway is more effective in health education for patients after heart-valve replacement.
作者
李素艳
刘雪莲
那竹惠
李捷
LI Suyan;LIU Xuelian;NA Zhuhui;LI Jie(College of Nursing Yunnan University of Traditional Chinese Medicine,Kunming,Yunnan,650500;Department of Nursing;Cardiac Vascular Surgery Room,Yan＇an Hospital of Kunming City,Kunming,Yunnan,650051)
出处
《中西医结合护理（中英文）》
2018年第10期35-39,共5页
Journal of Clinical Nursing in Practice
