新疆医科大学学报
新疆醫科大學學報
신강의과대학학보
JOURNAL OF XINJIANG MEDICAL UNIVERSITY
2013年
10期
1539-1542,1545
,共5页
阿依古丽·买买提%佟宛云%韩记真
阿依古麗·買買提%佟宛雲%韓記真
아의고려·매매제%동완운%한기진
癌症%疲乏%系统化护理%Meta分析
癌癥%疲乏%繫統化護理%Meta分析
암증%피핍%계통화호리%Meta분석
cancer%fatigue%systematic nursing%Meta-Analysis
目的系统评价系统化护理干预对癌因性疲乏(cancer-related fatigue,CRF)患者的影响。方法以“癌症”、“疲乏”、“系统化护理”等为关键词,计算机检索中国生物医学文献数据库(CBM)、中国期刊全文数据库(CNKI)、维普数据库(VIP)及万方数据库,检索日期为数据库建立至2012年12月1日;纳入系统化护理干预 CRF患者的随机对照试验(RCT),由2名评价者独立评价纳入研究的质量并提取资料,并用 RevMan 5.0统计软件进行Meta分析。结果共纳入9篇文献,包括1042例CRF患者,所有研究均采用了随机对照的方法,但未明确是否采用分配隐藏或双盲。Meta分析结果显示,通过护理干预后,系统护理干预组无疲乏及轻度疲乏患者明显多于常规护理组,差异具有统计学意义(RR 合并=4.72,P <0.01,95%CI =3.58~6.24);系统化护理对CRF患者的生活质量的影响,与常规护理比较,差异具有统计学意义(RR 合并=9.67,P =0.003,95%CI =3.30~16.04);经干预后系统化护理组CRF患者的卡氏功能(KPS)评分明显低于常规护理组患者,差异具有统计学意义(RR 合并=4.22,P<0.01,95%CI =2.06~6.38)。结论针对CRF患者进行护理,系统化护理干预明显优于常规护理模式,可改善CRF患者疲乏状态、生活质量等。
目的繫統評價繫統化護理榦預對癌因性疲乏(cancer-related fatigue,CRF)患者的影響。方法以“癌癥”、“疲乏”、“繫統化護理”等為關鍵詞,計算機檢索中國生物醫學文獻數據庫(CBM)、中國期刊全文數據庫(CNKI)、維普數據庫(VIP)及萬方數據庫,檢索日期為數據庫建立至2012年12月1日;納入繫統化護理榦預 CRF患者的隨機對照試驗(RCT),由2名評價者獨立評價納入研究的質量併提取資料,併用 RevMan 5.0統計軟件進行Meta分析。結果共納入9篇文獻,包括1042例CRF患者,所有研究均採用瞭隨機對照的方法,但未明確是否採用分配隱藏或雙盲。Meta分析結果顯示,通過護理榦預後,繫統護理榦預組無疲乏及輕度疲乏患者明顯多于常規護理組,差異具有統計學意義(RR 閤併=4.72,P <0.01,95%CI =3.58~6.24);繫統化護理對CRF患者的生活質量的影響,與常規護理比較,差異具有統計學意義(RR 閤併=9.67,P =0.003,95%CI =3.30~16.04);經榦預後繫統化護理組CRF患者的卡氏功能(KPS)評分明顯低于常規護理組患者,差異具有統計學意義(RR 閤併=4.22,P<0.01,95%CI =2.06~6.38)。結論針對CRF患者進行護理,繫統化護理榦預明顯優于常規護理模式,可改善CRF患者疲乏狀態、生活質量等。
목적계통평개계통화호리간예대암인성피핍(cancer-related fatigue,CRF)환자적영향。방법이“암증”、“피핍”、“계통화호리”등위관건사,계산궤검색중국생물의학문헌수거고(CBM)、중국기간전문수거고(CNKI)、유보수거고(VIP)급만방수거고,검색일기위수거고건립지2012년12월1일;납입계통화호리간예 CRF환자적수궤대조시험(RCT),유2명평개자독립평개납입연구적질량병제취자료,병용 RevMan 5.0통계연건진행Meta분석。결과공납입9편문헌,포괄1042례CRF환자,소유연구균채용료수궤대조적방법,단미명학시부채용분배은장혹쌍맹。Meta분석결과현시,통과호리간예후,계통호리간예조무피핍급경도피핍환자명현다우상규호리조,차이구유통계학의의(RR 합병=4.72,P <0.01,95%CI =3.58~6.24);계통화호리대CRF환자적생활질량적영향,여상규호리비교,차이구유통계학의의(RR 합병=9.67,P =0.003,95%CI =3.30~16.04);경간예후계통화호리조CRF환자적잡씨공능(KPS)평분명현저우상규호리조환자,차이구유통계학의의(RR 합병=4.22,P<0.01,95%CI =2.06~6.38)。결론침대CRF환자진행호리,계통화호리간예명현우우상규호리모식,가개선CRF환자피핍상태、생활질량등。
Objective To evaluate the systematic nursing intervention on patients with cancer related fatigue(Cancer-related Fatigue CRF).Methods “Cancer”,“Fatigue”,“Systematic Nursing”as key words, computer retrieval Chinese Biomedical Literature Database (CBM),Chinese Journal Full-text Database (CNKI),VIP database(VIP)and Wanfang database,retrieve date established for the database to Decem-ber 1,2012;systematic nursing intervention in patients with CRF included randomized controlled trials (RCT),2 reviewers independently evaluated the quality of included studies and extracted data,and use RevMan 5.0 statistical software for Meta-analysis.Results A total of nine documents,including 1 042 pa-tients with CRF, all studies using a randomized controlled way, but was not clear whether to use allocation concealment or blinded.Meta-analysis showed that,through nursing intervention,the system nursing intervention group patients without fatigue and mild fatigue,significantly more than usual care group,the difference was statistically significant (RR combined=4.72,P <0.01,95%CI =3.58-6.24);systematic care for the quality of life in patients with CRF effects compared with usual care,the difference was statistically significant (RR combined=9.67,P =0.003,95%CI =3.30-16.04);through systematic care group after intervention Cartesian function in patients with CRF(KPS)score was significantly lower than usual care patients,the difference was statistically significant (RR combined=4.22,P <0.01,95%CI =2.06-6.38).Conclusion For patients with CRF for care,systematic nursing intervention was signifi-cantly better than the conventional model of care,which can improve fatigue in patients with CRF status, quality of life and so on.