基于证据的护理对中风患者的影响:系统性审查和元分析
Xiaolu Xue1, Lifang Zhang2, Jiao Zhen3
1Department of Neurology, Shanxi Cardiovascular Hospital, Taiyuan, Shanxi 030024, China.
在个别研究中,基于证据的护理 (EBN) 显示了改善中风患者结果的前景. 然而,综合分析并未证实其有效性,表明需要更多的研究来充分评估EBN.
科学领域:
- 护理科学 护理科学
- 基于证据的实践.
- 脑卒中康复 脑卒中康复
背景情况:
- 脑卒中患者需要康复后急性护理,通常在家中进行.
- 卒中病房护理改善了无残疾的生存率.
- 基于证据的护理 (EBN) 旨在提高护理科学和患者的结果.
研究的目的:
- 评估基于证据的护理 (EBN) 在中风患者的疗效.
- 评估EBN对患者结果和生活质量的影响.
主要方法:
- 在PubMed,Embase,Cochrane图书馆和科学网络的系统文献搜索.
- 包括13015名中风患者 (3351名EBN组,9664名对照组).
- 使用95%置信区间 (CI) 计算赔率比率 (OR) 和标准化平均差异 (SMD).
主要成果:
- 在12项纳入研究中,偏差风险低.
- 在累积死亡风险上没有统计学意义上的差异 (OR: 1.61,P=0.2811).
- 对SF-36身体/精神健康或WHOQOL-BREF评分没有显著的综合影响.
结论:
- 在单个研究中,EBN显示了中风患者的潜在益处.
- 聚合分析没有证明EBN的统计学上显著的疗效.
- 需要进一步的研究,以全面评估EBN在中风治疗中的有效性.
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