摘要
目的通过Meta分析,系统评价延续护理及随访时间差异对人工全膝关节置换术后患者康复的影响。方法系统检索Cochrane Library、PubMed、Embase、web of science、中国生物医学文献数据库、万方数据库、中国知网数据库中延续护理对人工全膝关节置换术后患者康复效果影响的随机对照试验,由2名研究人员独立筛选文献并提取资料,对符合质量标准的随机对照试验进行Meta分析。结果共纳入13篇文献,包括1211例研究对象。延续护理可提高患者膝关节功能[MD=8.02,95%CI(5.60,10.44),P<0.001],日常生活能力[MD=4.13,95%CI(2.50,5.75),P<0.001],以及生活质量的生理功能、躯体疼痛、总体健康、活力、社会功能、情感职能、心理健康维度;但随访时间是否超过6个月对以上结局指标的影响比较,差异无统计学意义。结论延续护理能促进全膝关节置换术后患者膝关节功能恢复、改善患者日常生活能力。最佳随访时间可能为术后6个月。
Objective To evaluate the effect of the continuous nursing and follow-up of different length on the rehabilitation of patients after total knee arthroplasty using the meta-analysis.Methods Randomized controlled trials(RCTs)on the effect of continuous nursing on patients′rehabilitation after the total knee arthroplasty were searched in Cochrane Library,PubMed,Embase,web of science,Chinese Biomedical Literature Database,Wan Fang,and China National Knowledge Infrastructure.The quality of RCTs was critically appraised and data were extracted by two researchers independently.Meta-analysis was conducted for eligible RCTs.Results Totally 13 articles were retrieved and 1211 patients were included.Meta-analysis showed that the continuum nursing was superior to routine nursing in promoting the knee function[MD=8.02,95%CI(5.60,10.44),P<0.001],activities of daily living[MD=4.13,95%CI(2.50,5.75),P<0.001],as well as the physiological function,body pain,general health,vitality,social function,emotional function,and mental health dimensions of life quality.However,no significant differences were observed whether the follow-up time was more than 6 months or not.Conclusion Continuous nursing can promote the recovery of knee function and improve the daily living ability of patients undergoing the total knee arthroplasty.Six months maybe the best length of continous nursing.
作者
周群
余洋
张琼月
胡月
ZHOU Qun;YU Yang;ZHANG Qiongyue;HU Yue(Nursing College,Chengdu University of Traditional Chinese Medicine,Chengdu 611137,China)
出处
《中国临床护理》
2020年第1期8-13,共6页
Chinese Clinical Nursing
基金
成都市卫生和计划生育委员会基金资助项目(编号:2016031)。
