CAJ | 학술논문

目的评价临床路径在哮喘儿童中的应用效果.方法计算机检索PubMed、Cochrane Library、Ovid、ScienceDirect、EBSCOhost、中国知网(CNKI)、万方数据库、中国生物医学文献服务系统(CBM)8个数据库中关于临床路径应用于哮喘儿童的相关文献,同时辅以手工检索,检索时间1980年至2014年.由2名研究者独立地鉴别筛选文献、提取资料和评估文献偏倚,采用Revman 5.2软件进行数据合并分析.结果共检索了1 048篇,实际纳入11篇文献,共2 207例哮喘儿童,临床路径组1 174例,对照组1 033例,Meta分析结果显示,实施临床路径的哮喘儿童住院时间较对照组有所缩短,所花的费用亦有所减少,急诊就诊次数低于对照组,健康教育效果好于对照组,差异有统计学意义;临床路径组哮喘儿童住院率比对照组有所降低,但差异无统计学意义.结论临床路径对于减少哮喘儿童平均住院时间、平均医疗费用、降低急诊就诊次数和提高健康教育效果方面具有一定的现实意义.
목적 평개림상로경재효천인동중적응용효과.방법 계산궤검색PubMed、Cochrane Library、Ovid、ScienceDirect、EBSCOhost、중국지망(CNKI)、만방수거고、중국생물의학문헌복무계통(CBM)8개수거고중관우림상로경응용우효천인동적상관문헌,동시보이수공검색,검색시간1980년지2014년.유2명연구자독입지감별사선문헌、제취자료화평고문헌편의,채용Revman 5.2연건진행수거합병분석.결과 공검색료1 048편,실제납입11편문헌,공2 207례효천인동,림상로경조1 174례,대조조1 033례,Meta분석결과현시,실시림상로경적효천인동주원시간교대조조유소축단,소화적비용역유소감소,급진취진차수저우대조조,건강교육효과호우대조조,차이유통계학의의;림상로경조효천인동주원솔비대조조유소강저,단차이무통계학의의.결론 림상로경대우감소효천인동평균주원시간、평균의료비용、강저급진취진차수화제고건강교육효과방면구유일정적현실의의.
Objective To evaluate the effectiveness of clinical pathways for pediatric asthma.Methods The literatures on the application of clinical pathways for pediatric asthma were collected in the databases such as PubMed,Cochrane Library,Ovid,ScienceDirect,EBSCOhost,CNKI,Wanfang and CBM while a manual search was added.The search was performed from 1980 to 2014.Two reviewers independently screened references,extracted data and assessed the risk of bias.Data was pooled and analyzed by using Revman 5.2 version.Results Eleven studies involving 2 207 participants from nearly 1 048 relevant studies met the inclusion criteria.1 174 participants were in the clinical pathway group while the other 1 033 participants were in the control group.Meta-analysis result showed that patients with asthma in a clinical pathway had a shorter length of stay,less medical cost,reduced rate of emergency room visits,and improved health education.However,clinical pathway did not appear to reduce readmission.Conclusions Clinical pathway can significandy reduce the length of hospital stay,cost,rate of emergency room visits and improve health education.