临床护理路径在手足口病合并病毒性脑炎患儿中应用Meta分析

目的 评价在手足口病合并病毒性脑炎患儿中应用临床护理路径的效果.方法 根据预定的纳入及排除标准,通过计算机及手工检索中国知网数据库、维普数据库、万方数据库、The Cochrane Library、PubMed、EBSCO数据库.采用Cochrane协作网提供的RevMan5.3软件对符合纳入标准的文献进行Meta分析,对于单变量计数资料用优势比(OR)及其95%可信区间(95%CI)表示,进行异质性检验,来判断多个研究结果的总体效应是否一致,如果一致,采用固定效应模型;若不一致,采用随机效应模型.结果 按照严格的纳入标准和排除标准,共纳入5项研究,共416例患儿,常规护理组208例,临床护理路径组208例.结果显示:在手足口病合并病毒性脑炎患儿中应用临床护理路径,相对常规护理组,缩短了住院时间〔WMD=-3.52,95%CI=(-4.29,-2.76),P<0.0001〕;提高了护理质量〔WMD=1.13,95%CI=(0.6,1.65),P<0.0001〕;提高了护士满意度〔OR=6.19,95%CI=(2.05,18.67),P=0.001〕.结论 对于手足口病合并病毒性脑炎患儿应用临床护理路径可以缩短住院时间,提高护理质量和护士满意度,取得良好的临床效果.

Meta analysis of clinical nursing pathway on the application of hand-foot-and-mouth disease combined with viral encephalitis children

Objective To evaluate the effect of clinical nursing pathway in patients with hand-food-mouth dis-ease associated with viral encephalitis. Methods According to the predetermined inclusion and exclusion criteria, the databases of CNKI, VIP, Wanfang, The Cochrane Library, PubMed and EBSCO database were retrieved by computer and by hand. Meta analysis was performed on the inclusion criteria by RevMan5. 3 software provided by Cochrance Col-laboration network. For single variable count data with the odds ratio ( OR) and 95% confidence intervals (95% CI) . If result were consistent, the fixed effects model would be used, on the contrary, the random effects model would be selected. Results According to the strict inclusion and exclusion criteria were included 5 studies, 416 patients were enrolled. There were 208 cases of routine nursing group and 208 clinical nursing path group. The results showed that:the clinical nursing pathway was applied in the patients with hand-foot-and-mouth disease and the patients with viral en-cephalitis, compared with the conventional nursing group, the hospital time was shortened 〔WMD=-3. 52, 95%CI=(-4. 29 , -2. 76 ) , P<0. 0001〕, the nursing quality was improved 〔WMD=1. 13 , 95%CI= ( 0. 6 , 1. 65 ) , P<0. 0001〕, and the nurses' satisfaction was improved 〔OR = 6. 19, 95% CI = ( 2. 05, 18. 67 ), P = 0. 001〕 . Conclusion The application of clinical nursing pathway in patients with hand-food-mouth disease associated with viral encephalitis can significantly reduce the hospital stay, improve the quality of nursing and the satisfaction of nurses. It has a good clinical effect.