CAJ | 학술논문

目的系统评价延续性护理在社区糖尿病患者中的运用效果.方法制订原始文献纳入标准和检索策略,电子检索PubMed、Cochrane Library、EMBASE、ScienceDirect、中国生物医学文献数据库、万方数据库、中国期刊全文数据库等,各数据库检索时间均从创建到2014年5月30日.由2位评价者按照纳入与排除标准独立进行文献筛选、资料提取和质量评价后,采用RevMan 5.2软件进行Meta分析.结果最终纳入5个随机对照试验,共156例糖尿病患者.Meta分析结果显示:干预组空腹血糖、餐后2h血糖、糖化血红蛋白、依从性方面优于对照组,差异均有统计学意义,P＜0.05;糖尿病知识评分和生命质量这2项指标由于数据不能转换未能做Meta分析,只进行描述性分析,显示2组在上述指标方面差异有统计学意义[如在糖尿病知识评分方面,干预组(9.63±0.28)分比对照组(3.28±0.42)分,P＜ 0.05].结论延续性护理能够提高社区糖尿病患者依从性、糖尿病知识评分和生命质量,同时患者空腹血糖、餐后2h血糖、以及糖化血红蛋白也得到改善.但受纳入研究数量和质量限制,上述结论尚需开展更多大样本、高质量的随机对照试验加以验证.
목적 계통평개연속성호리재사구당뇨병환자중적운용효과.방법 제정원시문헌납입표준화검색책략,전자검색PubMed、Cochrane Library、EMBASE、ScienceDirect、중국생물의학문헌수거고、만방수거고、중국기간전문수거고등,각수거고검색시간균종창건도2014년5월30일.유2위평개자안조납입여배제표준독립진행문헌사선、자료제취화질량평개후,채용RevMan 5.2연건진행Meta분석.결과 최종납입5개수궤대조시험,공156례당뇨병환자.Meta분석결과현시:간예조공복혈당、찬후2h혈당、당화혈홍단백、의종성방면우우대조조,차이균유통계학의의,P＜0.05;당뇨병지식평분화생명질량저2항지표유우수거불능전환미능주Meta분석,지진행묘술성분석,현시2조재상술지표방면차이유통계학의의[여재당뇨병지식평분방면,간예조(9.63±0.28)분비대조조(3.28±0.42)분,P＜ 0.05].결론 연속성호리능구제고사구당뇨병환자의종성、당뇨병지식평분화생명질량,동시환자공복혈당、찬후2h혈당、이급당화혈홍단백야득도개선.단수납입연구수량화질량한제,상술결론상수개전경다대양본、고질량적수궤대조시험가이험증.
Objective Systemic analysis the effect of the application of continuity nursing in community diabetes.Methods Retrieve documents from the PubMed,Cochrane Library,EMBASE,Science Direct,CBM,WANFANG Data and CNKI.Dating from the dates of establishment to May,2014.Randomized controlled trials (RCTs) on continuity of patient care for patients with diabetes were included.Two reviewers independently screened the literature according to the inclusion and exclusion criteria,extracted the data and assessed the quality of the included studies,and then meta-analysis was performed by RevMan 5.1 software.Results 5 RCTs (156 cases with diabetes) were involved into this Meta-analysis.The experimental group was superior to the control group in FBG,2h PBG,HbA1c and the level of treatment compliance,with statistically significant differences,P＜0.05.The descriptive analysis showed that the differences in the score of diabetes knowledge and the quality of life were statistically significant,P＜0.05,because the data could not be converted.Conclusions The continuity nursing can improve the compliance and the quality of life of community diabetes,ameliorate certain biochemical indicators.Study of large sample and RCTs should be take because of the existence of some restraining factors.