中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
10期
20-24
,共5页
集束化护理%呼吸机相关性肺炎%Meta分析%效果评价
集束化護理%呼吸機相關性肺炎%Meta分析%效果評價
집속화호리%호흡궤상관성폐염%Meta분석%효과평개
Cluster based care%Ventilator associated pneumonia%Meta analysis%Effect assessment
目的 评价集束化护理措施与常规护理措施预防呼吸机相关性肺炎的临床效果.方法 应用计算机对国内相关文献进行搜索,并按Cochrane协作网提供的RevMan 5.2对其进行定量综合分析,比较2种不同护理措施对降低呼吸机相关性肺炎发生率的效果.结果 共23篇文献6 146例患者符合纳入标准.因纳入研究之间存在异质性,故采用随机效应模型分析,RR合并(Total)=0.46,95％CI为(0.38,0.56),表明集束化护理措施明显降低了呼吸机相关性肺炎的发生率.结论 集束化护理措施对预防呼吸机相关性肺炎的效果优于常规护理措施,应当大力的推广使用.
目的 評價集束化護理措施與常規護理措施預防呼吸機相關性肺炎的臨床效果.方法 應用計算機對國內相關文獻進行搜索,併按Cochrane協作網提供的RevMan 5.2對其進行定量綜閤分析,比較2種不同護理措施對降低呼吸機相關性肺炎髮生率的效果.結果 共23篇文獻6 146例患者符閤納入標準.因納入研究之間存在異質性,故採用隨機效應模型分析,RR閤併(Total)=0.46,95％CI為(0.38,0.56),錶明集束化護理措施明顯降低瞭呼吸機相關性肺炎的髮生率.結論 集束化護理措施對預防呼吸機相關性肺炎的效果優于常規護理措施,應噹大力的推廣使用.
목적 평개집속화호리조시여상규호리조시예방호흡궤상관성폐염적림상효과.방법 응용계산궤대국내상관문헌진행수색,병안Cochrane협작망제공적RevMan 5.2대기진행정량종합분석,비교2충불동호리조시대강저호흡궤상관성폐염발생솔적효과.결과 공23편문헌6 146례환자부합납입표준.인납입연구지간존재이질성,고채용수궤효응모형분석,RR합병(Total)=0.46,95％CI위(0.38,0.56),표명집속화호리조시명현강저료호흡궤상관성폐염적발생솔.결론 집속화호리조시대예방호흡궤상관성폐염적효과우우상규호리조시,응당대력적추엄사용.
Objective To evaluate the clinical effect of cluster nursing measures and conventional nursing measures to prevent the ventilator associated pneumonia.Methods The domestic related literatures were searched using computer,and the results underwent comprehensive analysis according to RevMan 5.2 in the Cochrane collaboration.The quantitative comparison of two different nursing measures in reducing the incidence of ventilator associated pneumonia was conducted.Results A total of 23 articles which contained 6 146 patients met the inclusion standard.Due to heterogeneity between the included studies,the random effects model analysis was adopted to merge the RR combined (Total)=0.46,95％ CI(0.38,0.56),showed that cluster of nursing measures to significantly reduce the incidence of ventilator associated pneumonia.Conclusions The effect of cluster nursing measures for ventilator associated pneumonia prevention is superior to the conventional nursing measures,which should vigorously be advocated in clinic.
