护士领导的预先护理规划干预对慢性呼吸道疾病的有效性:一个元分析
1Pediatric Internal Medicine Clinic, Children's Hospital of Shanxi (Women Health Center of Shanxi), Taiyuan, China.
Nursing open
|October 22, 2025
概括
护士主导的预先护理计划 (ACP) 显著改善了慢性呼吸系统疾病患者的沟通. 然而,对生活质量和临床结果的影响在本次元分析中不那么明显.
科学领域:
- 医疗保健管理的管理
- 护理干预 护理干预
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性呼吸道疾病给医疗保健带来了重大挑战.
- 有效的沟通和未来的护理规划至关重要.
- 护士主导的预先护理计划 (ACP) 旨在改善患者的治疗结果.
研究的目的:
- 评估护士主导的ACP干预措施在患有慢性呼吸系统疾病的患者中的有效性.
- 评估这些干预措施对生活质量,沟通,焦虑,抑郁,住院和住院时间的影响.
主要方法:
- 在多个数据库中进行了全面的文献搜索,截至2024年5月.
- 包括随机对照试验和评估护士领导的ACP的非随机试验.
- 分析使用随机效应模型来计算聚合的SMD和OR,并评估异质性.
主要成果:
- 护士领导的ACP对沟通质量产生了显著的积极影响 (SMD = 2.137).
- 对生活质量的影响 (SMD = 0.073),焦虑 (SMD = -0.166) 和抑郁 (SMD = 0.756) 是可以忽略的或略有增加.
- 对住院患者 (SMD = 0.127) 和住院时间 (SMD = 0.145) 观察到的影响很小.
- 与医生讨论 (OR = 1.773) 和完成预先指令 (OR = 1.856) 显示了积极但不显著的增加.
结论:
- 护士领导的ACP干预措施显著提高了患者和医疗保健提供者之间的沟通质量.
- 对生活质量和其他临床结果的影响不那么明显.
- 可能需要进一步的研究来优化ACP干预措施,以获得更广泛的临床益处.
相关概念视频
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
5.0K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
5.0K
01:21Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K
01:30Asthma-IV: Nursing Management
3.7K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.7K
01:19Respiratory Assessment: Purpose and Indications
1.7K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.7K
01:30Pneumonia V: Nursing management and Prevention
3.4K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.4K
01:29Planning Nursing Care II
3.5K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
3.5K