文献类型：期刊文献

中文题名：痛风患者延续性护理干预效果的meta分析

英文题名：Intervention effect of continuous care for patients with gout:a meta-analysis

作者：陈亚亚[1];丁劲[2]

第一作者：陈亚亚

机构：[1]甘肃中医药大学护理学院,甘肃兰州730000;[2]甘肃中医药大学附属医院护理部,甘肃兰州730000

第一机构：甘肃中医药大学护理学院

年份：2022

卷号：38

期号：4

起止页码：595

中文期刊名：现代医药卫生

外文期刊名：Journal of Modern Medicine & Health

语种：中文

中文关键词：痛风;延续性护理;疗效;meta分析

外文关键词：Gout;Continuous care;Curative effect;Meta-analysis

摘要：目的 评价延续性护理模式在痛风患者中的应用效果。方法 计算机检索TheCochraneLibrary、CINAHL、WebofScience、Pub Med、Medline、中国知网、CBM、维普网和万方数据库,搜集关于痛风患者延续性护理的随机对照试验,检索时间均为建库到2021年6月。由2名研究员单独对文献进行删选、资料提取及风险评估。采用Rev Man5.3软件进行meta分析。结果 纳入9项研究,共604例患者。meta分析结果显示,与常规护理组相比,延续性护理组痛风患者的自我管理能力增强[均方差(MD)=7.20,95%置信区间(95%CI)为3.45~10.94,P=0.0002],血尿酸水平下降(MD=-44.05,95%CI为-52.36~-35.74,P<0.0001),护理疗效提高(OR=4.34,95%CI为2.33~8.08,P<0.0001)。结论 延续性护理能够提高痛风患者的自我管理能力和护理效果,降低血尿酸水平。
Objective To evaluate the application effect of continuous nursing mode in patients with gout.Methods The databases of the Cochrane Library,CINAHL,Web of Science,PubMed,Medline,CNKI,CBM,VIP and Wanfang were searched to collect the randomized controlled trials on continuing care of patients with gout from the establishment of the databases to June 2021.The literatures were separately deleted,extracted and risk assessed by two researchers.And the RevMan 5.3 software was used to analyze.Results A total of nine studies involving 604 patients were included.The results of the meta-analysis showed that compared with the routine nursing group,the self-management ability of the patients with gout in the continuous nursing group was enhanced[MD=7.20,95%CI(3.45 to 10.94),P=0.0002],the serum uric acid level was decreased[MD=-44.05,95%CI(-52.36 to-35.74),P<0.00001],and the nursing effect was improved[OR=4.34,95%CI(2.33 to 8.08),P<0.00001].Conclusion Continuous nursing could improve the self-management ability and nursing effect of patients with gout,and reduce the level of blood uric acid.