临床护理路径对脑出血患者实施效果的Meta分析

目的采用Meta分析探讨临床护理路径对脑出血患者的实施效果。方法检索1998年1月至2012年5月的万方数据医药信息系统、中华医学会全文期刊、中国医院数字图书馆及中国生物医学文献数据库，纳入临床护理路径和传统护理的对照研究，由2人独立进行数据提取和文献评价。采用RevMan 5．0软件进行Meta分析。结果共纳入12篇文献，Meta分析结果显示临床护理路径与传统护理模式在脑出血患者对平均住院日、平均住院费用、患者满意度、患者健康教育知晓率及患者并发症发生率等5个方面实施效果的差异均具有统计学意义（P〈0．01），但文献的质量普遍偏低。结论临床护理路径对脑出血患者的实施效果均优于传统护理模式。然而由于文献存在偏倚的风险较高，分析结果仍需要更多的临床护理实践及大量质量较高的文献来支持。

Meta-analysis of the implementation effect of clinical nursing pathway on patients with cerebral hemorrhage

Objective To evaluate the implementation effect of the clinical nursing pathway on patients with cerebral hemorrhage by using the Meta-analysis. Methods The databases of WanFang Data, CMA, CHDL and CBM were searched. The controlled studies comparing clinical nursing pathway and traditional nursing were included. Data collection and literature evaluation were performed by two reviewers independently. RevMan 5.0 was used for the Meta-analysis. Results Totals of 12 literatures were included in Meta-analysis. The results showed the statistical difference between clinical nursing pathway and traditional nursing for cerebral hemorrhage＇s patients in average length of stay, average hospitalization expenses, patients＇ satisfaction, patients＇ health education awareness and the incidence of complication （P 〈 0.01 ）. However, most trials included in the review were of low quality. Conclusions The clinical nursing pathway is beneficial in implementation effect comparing with traditional nursing. But there are a higher risk of bias in the literatures, the results need a large number of clinical nursing practice and higher quality literatures to support.