CAJ | 학술논문

目的评价护理干预对肺结核患者的遵医行为是否有影响.方法采用Cochrane系统评价的方法,计算机检索Pubmed(1966年1月—2012年5月)、EMbase(1974年1月—2012年5月)、Cochrane图书馆、中国期刊全文数据库(1994年1月—2012年5月)、中国生物医学文献数据库(1978年1月—2012年5月)、万方数据库(1990年1月—2012年5月),搜集有关护理干预对肺结核患者遵医行为影响的随机对照试验和半随机对照试验.采用澳大利亚JBI循证卫生保健中心对干预性研究的真实性评价表对纳入研究进行方法学质量评价,而后提取有效数据并采用RevMan 5.0软件进行Meta分析.结果依照纳入和排除标准,共纳入14个研究,纳入研究的文献质量均较低;Meta分析结果显示:护理干预6个月、9个月后总的遵医行为差异均有统计学意义;护理干预6个月后遵医行为的具体指标有:规律用药,定期复查,按时休息,注意消毒卫生,合理饮食,戒烟限酒.结论护理干预可以提高肺结核患者遵医行为,有效提高患者自控能力,增强患者对肺结核病的认识,对肺结核患者的治疗有积极意义.由于纳入研究的文献质量均较低,今后的研究应该有更严格的设计,从而提供更有力的证据.
목적평개호리간예대폐결핵환자적준의행위시부유영향.방법채용Cochrane계통평개적방법,계산궤검색Pubmed(1966년1월—2012년5월)、EMbase(1974년1월—2012년5월)、Cochrane도서관、중국기간전문수거고(1994년1월—2012년5월)、중국생물의학문헌수거고(1978년1월—2012년5월)、만방수거고(1990년1월—2012년5월),수집유관호리간예대폐결핵환자준의행위영향적수궤대조시험화반수궤대조시험.채용오대리아JBI순증위생보건중심대간예성연구적진실성평개표대납입연구진행방법학질량평개,이후제취유효수거병채용RevMan 5.0연건진행Meta분석.결과의조납입화배제표준,공납입14개연구,납입연구적문헌질량균교저;Meta분석결과현시:호리간예6개월、9개월후총적준의행위차이균유통계학의의;호리간예6개월후준의행위적구체지표유:규률용약,정기복사,안시휴식,주의소독위생,합리음식,계연한주.결론호리간예가이제고폐결핵환자준의행위,유효제고환자자공능력,증강환자대폐결핵병적인식,대폐결핵환자적치료유적겁의의.유우납입연구적문헌질량균교저,금후적연구응해유경엄격적설계,종이제공경유력적증거.
@@@@Objective To evaluate the effect of nursing intervention on medical compliance of patients with pulmonary tuberculosis. Methods With the method of Cochrane system evaluation, the search for randomized controlled trials and semi-randomized controlled trials for the effect of nursing intervention on medical compliance of patients with pulmonary tuberculosis was conducted in PubMed (from Jan. 1966 to May 2012), EMbase (from Jan. 1974 to May 2012), Cochrane Library, CJFD (from Jan. 1994 to May 2012), CBMDisc (from Jan. 1978 to May 2012), Wanfang Data (from Jan. 1990 to May 2012). Authentic assessment of intervention studies of Australian JBI Effective Healthcare Center was applied to do quality evaluation of methodology and RevMan 5.0 software for Meta-analysis. Results In the study, 14 trials were included and the quality of the included trials was low. Meta-analysis showed that the difference between medical compliance after 6 months’ nursing intervention and 9 months’ nursing intervention was of statistical significance and the indexes after 6 months’ nursing intervention included medication compliance, regular inspection, having rest on time, paying attention to health, diet control, stopping smoking and limiting drinking, and all the differences were of statistical significance. Conclusion Nursing intervention can improve medical behavior of patients with pulmonary tuberculosis, increase patients’ self-controlled capacity and enhance knowledge of pulmonary tuberculosis. It is also beneficial to treating pulmonary tuberculosis.