护理学报
護理學報
호이학보
JOURNAL OF NURSING
2014年
9期
60-64
,共5页
水胶体敷料%预防%静脉炎%临床效果%Meta分析
水膠體敷料%預防%靜脈炎%臨床效果%Meta分析
수효체부료%예방%정맥염%림상효과%Meta분석
water gel dressing%prevent%phlebitis%curative effect%meta-analysis
目的:系统评价水胶体敷料对预防静脉留置针引起的静脉炎的临床效果。方法收集水胶体敷料预防静脉炎的临床护理相关文献,在中国知网、万方数据库、维普资讯网及中国生物医学文献数据库上,对2007-2012年的文献进行检索,检索关键词为:“水胶体敷料”、“静脉炎”、“对比分析”、“比较”等,采用Rev Man5.2进行分析。结果使用水胶体敷料与普通敷料相比,总的静脉炎发生率差异有统计学意义(OR=0.17,CI:0.11~0.25,Z=8.98,P=0.000);I级静脉炎发生率对比(OR=0.21,CI:0.12~0.36, Z=5.68,P=0.000),II级静脉炎发生率对比(OR=0.22,CI:0.10~0.48,Z=3.76,P=0.000),III级及以上的静脉炎发生率对比(OR=0.14, CI:0.04~0.53,Z=2.90,P=0.004)差异均有统计学意义;两组留置针留置时间≥3 d的例数对比,差异有统计学意义(OR=3.57,CI:1.96~6.50,Z=4.15,P=0.000)。结论应用水胶体敷料能减少静脉留置针相关性静脉炎的发生率及不同程度静脉炎的发生率,同时延长留置针使用时间。
目的:繫統評價水膠體敷料對預防靜脈留置針引起的靜脈炎的臨床效果。方法收集水膠體敷料預防靜脈炎的臨床護理相關文獻,在中國知網、萬方數據庫、維普資訊網及中國生物醫學文獻數據庫上,對2007-2012年的文獻進行檢索,檢索關鍵詞為:“水膠體敷料”、“靜脈炎”、“對比分析”、“比較”等,採用Rev Man5.2進行分析。結果使用水膠體敷料與普通敷料相比,總的靜脈炎髮生率差異有統計學意義(OR=0.17,CI:0.11~0.25,Z=8.98,P=0.000);I級靜脈炎髮生率對比(OR=0.21,CI:0.12~0.36, Z=5.68,P=0.000),II級靜脈炎髮生率對比(OR=0.22,CI:0.10~0.48,Z=3.76,P=0.000),III級及以上的靜脈炎髮生率對比(OR=0.14, CI:0.04~0.53,Z=2.90,P=0.004)差異均有統計學意義;兩組留置針留置時間≥3 d的例數對比,差異有統計學意義(OR=3.57,CI:1.96~6.50,Z=4.15,P=0.000)。結論應用水膠體敷料能減少靜脈留置針相關性靜脈炎的髮生率及不同程度靜脈炎的髮生率,同時延長留置針使用時間。
목적:계통평개수효체부료대예방정맥류치침인기적정맥염적림상효과。방법수집수효체부료예방정맥염적림상호리상관문헌,재중국지망、만방수거고、유보자신망급중국생물의학문헌수거고상,대2007-2012년적문헌진행검색,검색관건사위:“수효체부료”、“정맥염”、“대비분석”、“비교”등,채용Rev Man5.2진행분석。결과사용수효체부료여보통부료상비,총적정맥염발생솔차이유통계학의의(OR=0.17,CI:0.11~0.25,Z=8.98,P=0.000);I급정맥염발생솔대비(OR=0.21,CI:0.12~0.36, Z=5.68,P=0.000),II급정맥염발생솔대비(OR=0.22,CI:0.10~0.48,Z=3.76,P=0.000),III급급이상적정맥염발생솔대비(OR=0.14, CI:0.04~0.53,Z=2.90,P=0.004)차이균유통계학의의;량조류치침류치시간≥3 d적례수대비,차이유통계학의의(OR=3.57,CI:1.96~6.50,Z=4.15,P=0.000)。결론응용수효체부료능감소정맥류치침상관성정맥염적발생솔급불동정도정맥염적발생솔,동시연장류치침사용시간。
Objective To systematically evaluate the efficiency of water gel dressing for reducing the incidence of phlebitis induced by intravenous detaining needle. Methods A literature search was conducted for studies that reported the efficiency of water gel dressing for reducing the incidence rate of phlebitis and the comparison between effects of water gel dressing and that of transparent dressing. Dates analyses were done by software Revman 5.2. Results The overall incidence rate of phlebitis after interventions with water gel dressing reduced significantly (OR=0.17, CI:0.11~0.25, Z=8.98, P=0.000),and there were statistical significance of the incidence rate in type I phlebitis(OR=0.21, CI:0.12~0.36, Z=5.68, P=0.000), type II phlebitis(OR=0.22, CI:0.10~0.48, Z=3.76, P=0.000)and type III phlebitis(OR=0.14, CI:0.04~0.53, Z=2.90, P=0.004). There was a longer indwelling time with water gel dressing (OR=3.57, CI:1.96~6.50, Z=4.15, P=0.000). Conclusion Water gel dressing could significantly reduce the incidence rate of phlebitis induced by intravenous detaining needle, at the same time prolong the indwelling time of detaining needle.