护理干预对腹膜透析患者生活质量影响的Meta分析  

Effect of nursing interventions on quality of life for patients undergoing continuous ambulatory peritoneal dialysis： A Meta-analysis

作　　者：庞建红 汪小华[2] 刘永琴 鞠阳[4] 许义[4] 

机构地区：[1]江苏盛泽医院护理部,苏州215228 [2]苏州大学附属第一医院肾内科 [3]苏州市吴江区第一人民医院 [4]苏州大学护理学院

出　　处：《中国实用护理杂志》2014年第12期10-15,共6页Chinese Journal of Practical Nursing

基　　金：基金项目：苏州市科技计划项目（SYS201310）

摘　　要：目的评价护理干预对持续非卧床腹膜透析（CAPD）患者生活质量的影响。方法计算机检索Cochrane、PubMed、Elsevier Science Direct、VIP、CNKI、万方数据库并辅以互联网络检索。收集对CAPD患者进行护理干预的随机对照试验（RCT），采用RevMan5．1软件进行统计处理。结果共纳入RCT文献8篇。Meta分析结果显示，本组资料存在一定的异质性，其中干预时间和年龄是导致异质性的主要原因，以性别分组进行亚组分析显示异质性未能明显消除。干预组患者在情感职能维度得分高于对照组；在躯体疼痛和心理健康维度得分明显高于对照组；在生理功能、生理职能、总体健康、生命活力和社会功能维度得分显著高于对照组。结论护理干预可以提高CAPD患者的生活质量。Objective To evaluate the effect of nursing interventions on the quality of life of patients undergoing continuous ambulatory peritoneal dialysis （CAPD）. Methods Randomized controlled trials （RCTs） involving nursing interventions were collected from the databases of Cochrane, PubMed, Elsevier Science Direct, VIP, CNKI and WanFang. Data were analyzed with RevMan 5.1 software. Results 8 articles met the inclusion criteria. The results of Meta-analysis showed that there was considerable heterogeneity across the analysis, which might be resulted from length of intervention and patients of different ages according to subgroup analysis, and that gender was not the factor causing heterogeneity. In the experimental group, both physical and emotional aspects after receiving nursing interventions were significantly improved than the control group. Conclusions Nursing interventions can improve the quality of life of patients with CAPD.

关 键 词：护理干预 腹膜透析 生活质量 META分析 

分 类 号：R473.6[医药卫生—护理学]