医院护理干预措施的有效性:一个雨审查
Elina Mattila1, Paula Heikkilä2,3, Eeva Harju2,4
1Tampere University Hospital, General Administration, The Wellbeing Services County of Pirkanmaa, Tampere, Finland.
Journal of clinical nursing
|April 4, 2025
概括
这一综合性审查发现,医院护理干预措施的高质量证据有限. 预防性护理干预措施显示出一致的积极效果,改善了患者的治疗结果,减少了住院时间.
科学领域:
- 护理科学 护理科学
- 基于证据的实践.
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 住院的成年患者接受各种护理干预.
- 这些干预措施的有效性需要全面的总结.
- 现有证据需要进行临床应用的批判性评估.
研究的目的:
- 进行总体审查,综合有关成人医院患者护理干预措施有效性的证据.
- 确定使用的护理干预类型及其报告的结果.
- 评估支持这些护理干预措施的证据质量.
主要方法:
- 现有系统审查的系统综合.
- 在主要数据库 (PubMed,CINAHL Complete,Cochrane Library) 进行全面的文献搜索,直到2024年6月.
- 根据PRISMA指南,对11项的叙述分析包括系统性审查 (包括141项原始研究).
主要成果:
- 常见的干预措施包括教育,预防和观察方法,主要针对体质患者.
- 护理干预表明有潜力减少焦虑,抑郁,疼痛,停留时间,副作用,死亡率,感染和压力的患病率.
- 干预措施往往缺乏内容和持续时间的详细描述,证据质量通常有限.
结论:
- 对于医院许多护理干预措施的有效性,高质量的证据是有限的.
- 预防性干预措施,如压力预防和早期预警得分,始终显示出积极和可实施的效果.
- 需要进一步进行高质量的系统审查,元分析和成本效益研究,以指导实践整合.
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