吕露露,郭红.出院计划对脑卒中患者及其照顾者干预效果的系统评价[J].上海护理,2018,18(2):
出院计划对脑卒中患者及其照顾者干预效果的系统评价
Efficacy of discharge planning on stroke patients and caregivers// Lyu Lulu , Guo Hong , Hu Liyun , Liu Qingxia , Xu Xiaojing // ( School of Nursing , Beijing University of Chinese Medicine , Beijing 100102 , China )
投稿时间:2016-08-29  修订日期:2018-01-31
DOI:
中文关键词:  出院计划  脑卒中  Meta分析
英文关键词:Discharge planning  Stroke  Meta-analysis
基金项目:
作者单位E-mail
吕露露 北京中医药大学护理学院 lululoveforever@sina.com 
郭红 北京中医药大学护理学院 guohong2015@163.com 
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中文摘要:
      目的 系统评价出院计划对脑卒中患者及其照顾者的干预效果。 方法 计算机检索建库至2016年3月公开发表在Pubmed、MEDLINE(Ovid)、CINAHL、The Cochrane Library、CNKI、Wanfang Data、CBM等数据库,收集所有出院计划对比常规出院护理应用于脑卒中患者的随机对照试验及半随机对照试验。由2 名研究者按照纳入和排除标准,独立进行数据提取和文献评价。采用RevMan 5.3软件进行Meta分析。 结果 共纳入15篇文献,相较于常规出院护理,出院计划能缩短脑卒中患者的住院时长[MD=-4.79,95%(-6.95,-2.63),Z=4.35,P<0.0001],改善其出院3个月内的自理能力[MD=9.03,95%(1.73,16.33),Z=2.42,P=0.02]及提高护理满意度[OR=1.99,95%(1.20,3.30),Z=2.66,P=0.008],但在照顾者负荷及护理满意度差异统计学意义(p>0.05)。 结论 出院计划对脑卒中患者的实施效果优于常规出院护理,可减少患者住院时长,提高患者的自理能力及护理满意度,是一种可行的临床护理模式。
英文摘要:
      Objective To systematically review the efficacy of discharge planning on stroke patients and their caregivers. Methods Databases including PubMed, MEDLINE(Ovid), CINAHL, The Cochrane Library, CNKI, Wanfang Data and CBM were electronically searched to collect randomized controlled trials (RCTs) or quasi-randomized control trials (quasi-RCTs)involving the comparison of discharge planning with routine nursing in stroke patients. The retrieval time was from inception to March 2016. The studies were selected according to the inclusion and exclusion criteria and the quality of included studies was evaluated by two reviewers. RevMan 5.3 was used for the meta-analysis. Results Totals of 15 literatures were included in meta-analysis. The results showed that: compared with the routine nursing, the discharge planning could shorten patients’ lengh of stay in hospital[MD=-4.79,95%(-6.95,-2.63),Z=4.35,P<0.0001], improve patients’ activities of daily life in three months after discharge[MD=9.03,95%(1.73,16.33),Z=2.42,P=0.02] and increase patients’ nursing satisfaction[OR=1.99,95%(1.20,3.30),Z=2.66,P=0.008]. No statistical significance was found between discharge planning group and control group in caregivers strain and nursing satisfaction (P >0. 05). Conclusion Discharge planning is beneficial in implementation effect comparing with routine nursing and is a feasible nursing mode.
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