摘要
目的:系统评价"互联网+"延续性护理在肠造口患者中的应用效果。方法:计算机检索PubMed、Web of Science、Ovid、EMbase、MEDLINE、The Cochrane Library、CNKI、CBM、WanFang Data和VIP数据库搜集与网络平台有关的肠造口患者延续性护理的研究,检索时限为建库至2019年10月。由2名研究者独立筛选文献、提取资料及评价纳入研究的风险偏倚后,采用RevMan5.3软件进行Meta分析。结果:最终纳入20篇文献,其中英文文献1篇,中文文献19篇,共1610例患者。Meta分析结果显示:与常规出院护理随访相比,"互联网+"延续性护理可有效降低患者造口并发症的发生率(OR=0.19,95%CI:0.14~0.26,P<0.01),提高患者自我护理能力(SMD=1.78,95%CI:1.60~1.96,P<0.01),增强患者自我效能感(MD=14.15,95%CI:11.50~16.80,P<0.01),减轻抑郁(SMD=–0.74,95%CI:–1.00~–0.49,P<0.01)。结论:"互联网+"延续性护理与常规护理比,可以提高肠造口患者的自我护理能力、自我效能感,降低造口并发症发生率,改善抑郁情绪的产生。
Objective:To systematically evaluate the effect of"Internet+"continuous nursing in patients with enterostomy.Methods:The research on continuous nursing in patients with enterostomy related to the network platform were collected through searching PubMed,Web of Science,Ovid,EMbase,MEDLINE,The Cochrane Library,CNKI,CBM,WanFang Data,and VIP databases.The search time limit was from the establishment day of the database to October 2019.After two researchers independently screened the literature,extracted data,and evaluated the risk bias of the included studies,Meta analysis was performed by RevMan5.3.Results:Twenty articles were included,including 1 English articles and 19 Chinese articles,with a total of 1610 patients.The results of Meta analysis showed that compared with follow-up of routine discharge nursing,"Internet+"continuous nursing could effectively reduce the incidence of colostomy complications(OR=0.19,95%CI:0.14~0.26,P<0.01),improve patients’self-nursing ability(SMD=1.78,95%CI:1.60~1.96,P<0.01),enhance patients’self-efficacy(MD=14.15,95%CI:11.50~16.80,P<0.01),and relieve depression(SMD=–0.74,95%CI:–1.00~–0.49,P<0.01).Conclusion:Compared with routine nursing,"Internet+"continuous nursing can improve the self-nursing ability and self-efficacy of enterostomy patients,reduce the incidence of colostomy complications and improve the occurrence of depression.
作者
耿晨
吕琳
牛欢欢
韩琳
Geng Chen;Luy Lin;Niu Huanhuan;Han Lin(School of Nursing,Lanzhou University,Lanzhou 730000,China;Evidence-Based Care Center,Lanzhou University,Lanzhou 730000,China;Wound Ostomy Care Center,Gansu Provincial Hospital,Lanzhou 730000,China;Department of Nursing,Gansu Provincial Hospital,Lanzhou 730000,China)
出处
《广西医科大学学报》
CAS
2020年第5期977-985,共9页
Journal of Guangxi Medical University
基金
国家自然科学基金资助项目(No.71663002)
中央高校基本科研业务费(No.Lzujbky-2016-ct14)
甘肃省人民医院院内科研基金项目(No.18GSSY5-33)。
