基于社区的护理干预对喘儿童的有效性:系统审查和元分析
1School of Medical, Hunan Polytechnic of Environment and Biology, Hengyang, Hunan, 421005, China.
Iranian journal of public health
|October 30, 2023
概括
护理干预显著改善生活质量,减少儿童喘发作和紧急情况. 这一元分析证实了它们在治疗儿童喘方面的有效性.
科学领域:
- 儿科护理 儿科护理
- 呼吸系统医学 呼吸系统医学
- 基于证据的实践.
背景情况:
- 预防性护理对于有效的儿童喘干预至关重要.
- 关于使用随机对照试验 (RCT) 治疗儿童喘的护理干预措施的有限的元分析存在.
- 这项研究解决了对护理护理在儿童喘管理中的有效性进行全面评估的需要.
研究的目的:
- 评估护理干预措施对儿童喘管理的有效性.
- 综合来自随机对照试验 (RCT) 关于护理干预的证据.
- 评估护理干预措施对儿童喘关键结果的影响.
主要方法:
- 用九项研究的数据进行了元分析.
- 从1964年到2022年7月,在多个数据库 (Medline,Cochrane,EMBASE,Scopus,Google Scholar) 中进行了搜索.
- 随机效应模型,聚合重量平均差异 (WMD),标准化平均差异 (SMD) 和风险比率 (RR) 使用了95%的置信区间 (CI).
主要成果:
- 紧急诊所的综合风险比 (RR) 为0.49 (95% CI:0.32至0.77).
- 喘发作频率的综合标准化平均差异 (SMD) 为 -2.88 (95% CI: -3.22至 -2.54).
- 生活质量有所改善 (SMD 0.49,95% CI:0.22至0.75).
结论:
- 接受护理干预的儿童喘患者显示生活质量有所改善.
- 护理干预导致了与喘有关的紧急情况和急性发作的减少.
- 建议未来的RCT探索最佳护理的短期和长期影响.
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