文献类型：期刊文献

中文题名：舒适护理对老年慢性心力衰竭病人生活质量影响的Meta分析

英文题名：Effects of comfort care on elderly patients with chronic cardiac failure:a meta-analysis

作者：于英[1];丁劲[2]

第一作者：于英

机构：[1]甘肃中医药大学,730000;[2]甘肃中医药大学附属医院,730000

第一机构：甘肃中医药大学

年份：2020

卷号：18

期号：32

起止页码：4399

中文期刊名：全科护理

外文期刊名：Chinese General Practice Nursing

语种：中文

中文关键词：舒适护理;老年慢性心力衰竭;生活质量;Meta分析

外文关键词：comfort care;elderly chronic cardiac failure;quality of life;meta-analysis

摘要：[目的]对老年慢性心力衰竭病人实施舒适护理干预措施的文献进行系统分析,以评价舒适护理的有效性。[方法]计算机检索Cochrane libarary、PubMed、Embase、中国知网(CNKI)、CBM、WANFANG数据库,检索建库至2019年4月,中英文文献,包括未公开出版、发行和刊登的灰色文献。2名评价员按纳入与排除标准筛选文献、提取资料,使用Cochrane协作网对RCT的真实性进行评价,采用RevMan 5.3软件分析。[结果]共纳入9项研究,全部为中文文献,共864例病人。结果显示,舒适护理组与常规组相比,舒适护理可提高老年慢性心力衰竭病人的生活质量包括躯体功能[SMD=4.72,95%CI(2.98,6.47),P<0.01]、心理功能[SMD=6.56,95%CI(4.75,8.37),P<0.01]、社会功能[SMD=8.76,95%CI(6.40,11.12),P<0.01]、物质生活[SMD=2.79,95%CI(2.54,3.04),P<0.01]。[结论]基于现有证据,舒适护理可以提高老年慢性心力衰竭病人的生活质量,但受纳入研究数量和质量的限制,上述结论尚待更多高质量研究予以验证。
Objective:To systematically analyze the literature on the implementation of comfort care interventions in elderly patients with chronic cardiac failure(CCF)and to evaluate the effectiveness of comfort care.Methods:Chinese and English literature were retrieved from Cochrane Library,PubMed,Embase,China National Knowledge Infrastructure(CNKI),China Biology Medicine disc(CBM),and Wanfang database,from the establishment of the databases until April 2019,including unpublished,issued,and published gray literature.Two reviewers screened the literature and extracted the data according to the alternative criteria.The authenticity of the included studies was evaluated by using Cochrane collaboration assessment tools.And RevMan 5.3 software was used to pool data for meta-analysis.Results:A total of 9 studies,which were Chinese literature,a total of 864 patients were included in this study.The results showed that compared with routine care,the comfort care could improve the quality of life of elderly patients with CCF,including physical function[SMD=4.72,95%CI(2.98,6.47),P<0.01],psychological function[SMD=6.56,95%CI(4.75,8.37),P<0.01],social function[SMD=8.76,95%CI(6.40,11.12),P<0.01],and material life[SMD=2.79,95%CI(2.54,3.04),P<0.01].Conclusions:Comfort care could improve the quality of life of elderly patients with CCF.However,due to the limitations of the quantity and quality of studies included,the above conclusions need to be verified by more high-quality studies.