CAJ | 학술논문

目的：分析系统性护理干预与常规护理干预两种护理方式在缓解乳腺癌化疗患者癌因性疲乏应用的差别。方法全面检索万方期刊数据库、中国期刊全文数据库、维普期刊全文数据库，收集关于系统性护理干预与常规护理干预在乳腺癌化疗患者癌因性疲乏作用对比的研究，采用Jadad量表对所有纳入的文献进行证据质量评价，运用统计学软件Stata和SAS，对癌因性疲乏和生活质量的观察指标进行Meta分析。结果共纳入13项研究，1322例患者，其中系统性护理组662例，常规护理组660例。系统性护理组缓解癌因性疲乏的作用优于常规护理组[OR（95％CI）＝3．497（2．838～4．310），P ＜0．01]；在提高生活质量方面也优于常规护理组（ SMD＞0，P＜0．05）。结论系统性护理干预在缓解乳腺癌化疗患者癌因性疲乏和提高患者生活质量方面明显优于常规护理干预，值得临床推广应用。
목적：분석계통성호리간예여상규호리간예량충호리방식재완해유선암화료환자암인성피핍응용적차별。방법전면검색만방기간수거고、중국기간전문수거고、유보기간전문수거고，수집관우계통성호리간예여상규호리간예재유선암화료환자암인성피핍작용대비적연구，채용Jadad량표대소유납입적문헌진행증거질량평개，운용통계학연건Stata화SAS，대암인성피핍화생활질량적관찰지표진행Meta분석。결과공납입13항연구，1322례환자，기중계통성호리조662례，상규호리조660례。계통성호리조완해암인성피핍적작용우우상규호리조[OR（95％CI）＝3．497（2．838～4．310），P ＜0．01]；재제고생활질량방면야우우상규호리조（ SMD＞0，P＜0．05）。결론계통성호리간예재완해유선암화료환자암인성피핍화제고환자생활질량방면명현우우상규호리간예，치득림상추엄응용。
Objective To retrieve the research or comparison of systematic nursing intervention and routine nursing intervention on breast cancer patients with chemotherapy and cancer related fatigue.Methods We searched from the database of Wanfang Data, China National Knowledge Infrastructure and VIP database.All literature had been taken Jadad scale to evaluate evidence quality, and utilized statistical software Stata and SAS to do meta-analysis for telling the differences of systematic nursing intervention and routine nursing intervention. Results This study involved 14 researches and 1 392 patients, in which were 697 cases of systematic nursing and 695 cases of routine nursing.Systematic nursing intervention was better than routine nursing intervention to cope with fatigue caused by cancer [OR(95%CI) =3.497(2.838-4.310);P<0.01], and presented the same trend at improving quality of life (SMD>0;P<0.05).Conclusions Systematic nursing intervention is worthy to promote in clinic.