灵活家庭探视制度对ICU患者谵妄影响的Meta分析

目的 评价灵活家庭探视制度对ICU患者谵妄的影响，为针对性干预提供参考。方法 计算机检索PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据等有关灵活家庭探视制度对ICU患者谵妄影响效果的研究，检索时限从建库至2023年1月13日，由2名研究者独立筛选文献、提取资料、评价质量后进行Meta分析。结果 共纳入17篇文献，Meta分析结果显示，与常规探视制度相比，灵活家庭探视制度能有效降低患者谵妄发生率［OR=0.41，95%CI（0.31，0.55），P＜0.05］。结论 灵活家庭探视制度可降低ICU患者谵妄发生率。

Effect of flexible family visitation on delirium among patients in the intensive care unit：a meta-analysis

Objective To evaluate the effect of flexible family visitation on delirium among patients in the intensive care unit, and to provide reference for targeted interventions. Methods We searched PubMed, Cochrane Library,Web of Science,Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), and Wanfang database to retrieve randomized cli-nical trials reporting the effect of flexible family visitation on delirium among patients in the intensive care unit, from database inception to 13 January, 2023.Two researchers independently screened the literature, extracted the data and evaluated the bias risks of the included studies, then RevMan 5.4 software was used for meta-analysis. Results A total of 17 studies met the inclusion criteria, and the results showed that flexible family visitation could reduce the incidence of delirium ［OR=0.41,95%CI（0.31,0.55）,P＜0.05］.Conclusion Flexible family visitation can reduce the incidence of delirium among patients in the intensive care unit.