中国护理干预对糖尿病患者从医行为影响的Meta分析  

Effect of Nursing Interventions on Medical Behavior of Diabetic Patients in China: A Meta-analysis

作　　者：魏花萍[1] 田金徽[2] 张玲[3] 郭鸿[1] 杨帆[1] 张彩云[3] 杨克虎[2] 

机构地区：[1]兰州大学第一医院,兰州730000 [2]兰州大学循证医学中心 [3]兰州大学第一医院护理部

出　　处：《中国循证医学杂志》2008年第5期328-333,共6页Chinese Journal of Evidence-based Medicine

摘　　要：目的评价中国护理干预对糖尿病患者从医行为的影响。方法计算机检索CBM(1978～2007.9)、CNKI(1994～2007.9)、VIP(1989～2007.9)、中国重要会议论文全文数据库(2000～2007.9)和中国学术会议论文全文数据库(1998～2007.9),手工检索《中国实用护理杂志》等杂志,纳入实施护理干预措施+常规治疗与仅有常规治疗比较的随机和半随机对照试验,按Cochrane系统评价手册4.2.6的文献质量评价办法评价纳入研究的方法学质量,而后提取有效数据并采用RevMan4.2.10软件对结果进行Meta分析。结果共纳入10个随机对照试验和2个半随机对照试验,有2个研究描述了盲法。所有纳入研究的质量均较低。Meta分析结果显示,与不进行护理干预相比,护理干预可提高糖尿病患者遵医用药服药、运动疗法、饮食控制、血糖监测、按时检查的行为,差异均有统计学意义,其RR(95%CI)分别为1.33(1.21,1.45)、1.48(1.30,1.69)、1.54(1.39,1.71)、1.56(1.41,1.72)、1.66(1.41,1.96)。结论护理干预可以提高糖尿病患者从医行为,有效提高病人自控能力,增强病人对糖尿病的认识,对控制和稳定血糖有积极意义。Objective To evaluate the effect of nursing interventions on the medical behavior of diabetic patients. Methods We searched CMB （1978 to September 2007）, CNKI （1994 to September 2007）, VIP （1989 to September 2007） and Papers on Academic Conference of China （1989 to September 2007）, and hand-searched relevant journals. We identified randomized controlled trials （RCTs） and quasi-RCTs of nursing interventions plus routine therapy versus simple routine therapy for diabetic patients. The methodological quality of included studies was assessed and data was extracted and analyzed by using The Cochrane Collaboration＇s RevMan 4.2.10 software. Results In total, 10 RCTs and 2 quasi-RCTs were included. Two of these studies described blinding. The quality of the included trials was low. Metaanalyses showed that nursing interventions significantly improved medication compliance （RR 1.33, 95%CI 1.21 to 1.45）, medical behaviors of physical therapy （RR 1.48, 95%CI 1.30 to 1.69）, diet control （RR 1.54, 95%CI 1.39 to 1.71）, blood glucose monitoring （RR 1.56, 95%CI 1.41 to 1.72） and regular inspection （RR 1.66, 95%CI 1.41 to 1.96） in patients with diabetes. Conclusion Nursing interventions can improve the medical behavior of diabetic patients, increase patientcontrolled capacity and enhance awareness of diabetes. It is also beneficial for blood glucose control and stability.

关 键 词：护理干预 糖尿病 从医行为 META分析 

分 类 号：R473.5[医药卫生—护理学]