摘要
目的通过整合既往有关过渡期护理干预,研究其对慢性阻塞性肺疾病(COPD)患者出院后生命质量的影响。方法计算机检索PubMed、EMBASE、Cochrane Library、Clinial Trial、CBM、Joanna Briggs Institute Library、MEDLINE、万方数据库、中国知网、维普数据库,检索建库至2018年1月1日关于过渡期护理对COPD患者生命质量影响的文献,使用Rev Man 5.3软件分析数据,双侧P<0.05被认为具有统计学意义。结果共纳入5项研究,根据圣乔治呼吸问卷(SGRQ)评分标准中的症状、活动、社会心理和SGRQ总分4项内容对数据进行了合并。症状、活动、社会心理和SGRQ总分的合并均方差及其95%置信区间分别为:-13.09(-18.71,-7.48)、-12.05(-14.55,-9.45)、-17.87(-22.27,-13.46)以及-15.42(-19.74,-11.10)(Z=4.57~9.42,均P<0.05)。结论过渡期护理对COPD患者的生命质量改善具有积极作用,可以有效改善患者的社会心理状态,使患者更加积极地应对治疗和康复过程中的问题。
Objective To reconcile previous studies on the impact of transitional nursing intervention on quality of life in patients with chronic obstructive pulmonary disease (COPD) after discharge from the Chinese population. Methods PubMed, EMBASE, Cochrane Library, Clinical Trial, CBM, Joanna Briggs Institute Library, MEDLINE, Wanfang database and CNKI database, Vip database were searched by computer. The literatures about the influence of transitional nursing on the quality of life of COPD patients were searched until January 1, 2018. the data were analyzed by Rev Man 5.3 software. The results showed that P<0.05 on both sides was statistically significant. Results Five clinical studies were included, and the data were combined according to the symptom, activity, social psychology and St.George′s Respiratory Questionnaire (SGRQ) total score in the SGRQ scale. Mean difference and its 95% confidence interval of symptoms, activities, social psychology and SGRQ score were -13.09 (-18.71, -7.48), 12.05 (-14.55, -9.45), -17.87 (-22.27, -13.46) and -15.42 (-19.74, -11.10) (Z=4.57-9.42, all P<0.05). Conclusions The transitional nursing has a significant positive effect on improving the quality of life among patients with COPD, which can effectively improve the psychosocial status of patients, and make the patients respond more actively to the problems in the process of treatment and rehabilitation.
作者
刘其兰
江智霞
王连红
刘竹
吴琼
周青
Liu Qilan;Jiang Zhixia;Wang Lianhong;Liu Zhu;Wu Qiong;Zhou Qing(School of Nursing,Zunyi Medical College,Zunyi 563000,China;Department of Nursing,the Affiliated Hospital of Zunyi Medical College,Zunyi 563000,China)
出处
《中国实用护理杂志》
2019年第6期475-480,共6页
Chinese Journal of Practical Nursing
基金
贵州省教育厅青年科技人才成长项目(黔教合KY字[2016]205)
贵州省省级重点学科(黔学位合字ZDXK[2016]10号).
关键词
慢性阻塞性肺疾病
过渡期护理
生活质量
圣乔治呼吸问卷评分
Pulmonary disease, chronic obstructive
Transitional care
Quality of life
St. George′s Respiratory Questionnaire
