基于证据的护理对重症监护室患者压力的预防的影响:元分析
Yuanli Li1, Zhifeng Huang2, Keping Yu3
1Department of Critical Medicine, Chongqing General Hospital, Chongqing, China.
基于证据的护理 (EBN) 显著减少了重症监护室 (ICU) 患者的压力 (PU) 的发展. 这一元分析证实了EBN的证实.
科学领域:
- 护理科学 护理科学
- 关键护理医学 关键护理医学
- 预防医学 预防医学
背景情况:
- 压力 (PU) 是重症监护室 (ICU) 患者的重要并发症.
- 传统的护理实践在预防PU方面具有不同的有效性.
研究的目的:
- 系统地分析基于证据的护理 (EBN) 在预防ICU患者中PU的有效性.
- 将EBN与传统护理进行比较,以在ICU环境中预防PU.
主要方法:
- 在多个数据库 (Embase,PubMed,Cochrane等) 中进行系统的文献搜索. 对于随机对照试验.
- 包括18项研究,包括2593名ICU患者,比较EBN和传统护理.
- 使用Stata 17.0的元分析来评估PUs的发生率.
主要成果:
- 与传统护理组 (12.04%) 相比,EBN组 (2.70%) 的PU发病率明显较低.
- 分析表明,EBN的PU发病率有统计学意义的减少 (风险比率=0.22,95%CI:0.16-0.32,p<0.001).
结论:
- 基于证据的护理干预措施在预防ICU患者的压力方面比传统护理更有效.
- 建议进行进一步的高质量研究来证实这些发现,特别是考虑到所包含的文献的来源.
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