中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
Chinese Journal of Practical Nursing
2015年
23期
1764-1769
,共6页
朱琴梅%胡弘毅%刘佳%王甦
硃琴梅%鬍弘毅%劉佳%王甦
주금매%호홍의%류가%왕소
病人出院%护士%慢性病%Meta分析%延续护理
病人齣院%護士%慢性病%Meta分析%延續護理
병인출원%호사%만성병%Meta분석%연속호리
Patient discharge%Nurses%Chronic disease%Meta-analysis%Continuity of patient care
目的 评价护士主导的出院计划对慢性病住院患者的效果.方法 检索Cochrane Library、PubMed、Medline、EMBASE、中国生物医学文献服务系统(CBM)、中国知网全文数据库(CNKI)、中国维普全文数据库(VIP)和万方数据资源系统,收集护士主导的出院计划对慢性病住院患者效果的随机对照试验.由2名系统评价员独立进行资料提取和偏倚风险评估,对合格的研究以RevMan 5.3.4软件行Meta分析.结果 纳入随机对照试验17项,研究对象达5 331例.Meta分析显示,相较于常规护理,护士主导的出院计划能减少慢性病住院患者的再入院率[相对危险度(RR)=0.73,95％可信区间(CI)0.64～0.84,P＜0.01]、再入院的住院日[均数差(MD)=-2.48,95％CI-3.68～1.29,P＜0.01]和全死因病死率(RR=0.78,95％CI 0.62～0.97,P＜0.05),却不能减少患者当次住院的住院日(MD=-0.18,95％CI-0.64～0.27,P＞0.05).结论 护士主导的出院计划对慢性病住院患者的多方面结局有积极的影响,包括能减少再入院率,缩短再入院的住院日和降低病死率等,建议临床及政策决策者推广使用.
目的 評價護士主導的齣院計劃對慢性病住院患者的效果.方法 檢索Cochrane Library、PubMed、Medline、EMBASE、中國生物醫學文獻服務繫統(CBM)、中國知網全文數據庫(CNKI)、中國維普全文數據庫(VIP)和萬方數據資源繫統,收集護士主導的齣院計劃對慢性病住院患者效果的隨機對照試驗.由2名繫統評價員獨立進行資料提取和偏倚風險評估,對閤格的研究以RevMan 5.3.4軟件行Meta分析.結果 納入隨機對照試驗17項,研究對象達5 331例.Meta分析顯示,相較于常規護理,護士主導的齣院計劃能減少慢性病住院患者的再入院率[相對危險度(RR)=0.73,95％可信區間(CI)0.64～0.84,P＜0.01]、再入院的住院日[均數差(MD)=-2.48,95％CI-3.68～1.29,P＜0.01]和全死因病死率(RR=0.78,95％CI 0.62～0.97,P＜0.05),卻不能減少患者噹次住院的住院日(MD=-0.18,95％CI-0.64～0.27,P＞0.05).結論 護士主導的齣院計劃對慢性病住院患者的多方麵結跼有積極的影響,包括能減少再入院率,縮短再入院的住院日和降低病死率等,建議臨床及政策決策者推廣使用.
목적 평개호사주도적출원계화대만성병주원환자적효과.방법 검색Cochrane Library、PubMed、Medline、EMBASE、중국생물의학문헌복무계통(CBM)、중국지망전문수거고(CNKI)、중국유보전문수거고(VIP)화만방수거자원계통,수집호사주도적출원계화대만성병주원환자효과적수궤대조시험.유2명계통평개원독립진행자료제취화편의풍험평고,대합격적연구이RevMan 5.3.4연건행Meta분석.결과 납입수궤대조시험17항,연구대상체5 331례.Meta분석현시,상교우상규호리,호사주도적출원계화능감소만성병주원환자적재입원솔[상대위험도(RR)=0.73,95％가신구간(CI)0.64～0.84,P＜0.01]、재입원적주원일[균수차(MD)=-2.48,95％CI-3.68～1.29,P＜0.01]화전사인병사솔(RR=0.78,95％CI 0.62～0.97,P＜0.05),각불능감소환자당차주원적주원일(MD=-0.18,95％CI-0.64～0.27,P＞0.05).결론 호사주도적출원계화대만성병주원환자적다방면결국유적겁적영향,포괄능감소재입원솔,축단재입원적주원일화강저병사솔등,건의림상급정책결책자추엄사용.
Objective To evaluate the effectiveness of nurse-led discharge planning for hospital inpatients with chronic disease.Methods The Cochrane Library,PubMed,Medline,EMBASE,Chinese Biomedical Literature Database Database(CBM),China National Kmowledge Infrastructure (CNKI),VIP Chinese full text database (VIP) and Wanfang Data were searched for randomized controlled trials assessing nurse-directed discharge planning for hospital inpatients with chronic disease.Two reviewers independently extracted data and assessed risk of bias.Meta-analysis was conducted for the eligible studies by RevMan 5.3.4.Results Seventeen randomized controlled trials and 5 331 participants were included.Meta-analysis demonstrated that,compared to standard care,nurse-led discharge planning were effective in reducing hospital readmission [risk radio (RR)=0.73,95％ confidence interval (CI) 0.64-0.84,P＜0.01],duration of inpatient readmissions [mean difference (MD)=-2.48,95％CI-3.68--1.29,P＜0.01],and all-cause mortality (RR=0.78,95％CI 0.62-0.97,P＜ 0.05).However,no reduction in the length of stay of the index admission (MD=-0.18,95％CI-0.64-0.27,P ＞ 0.05) was demonstrated.Conclusions Nurse-led discharge planning has a positive impact on several aspects of care for hospital inpatients with chronic disease,including reducing readmission,readmission length of stay,and all-cause mortality.It is worth being popularized.
