临床路径在哮喘儿童中应用效果的Meta分新  

Application effectiveness of clinical pathways for pediatric asthma： A systematic review

作　　者：高国贞[1] 温李滔[2] 郭妙兰 王少玲[3] 

机构地区：[1]广州医科大学附属第一医院护理部,510120 [2]广州医科大学护理学院 [3]香港理工大学护理学院

出　　处：《中国实用护理杂志》2014年第33期46-50,共5页Chinese Journal of Practical Nursing

摘　　要：目的 评价临床路径在哮喘儿童中的应用效果.方法 计算机检索PubMed、Cochrane Library、Ovid、ScienceDirect、EBSCOhost、中国知网（CNKI）、万方数据库、中国生物医学文献服务系统（CBM）8个数据库中关于临床路径应用于哮喘儿童的相关文献,同时辅以手工检索,检索时间1980年至2014年.由2名研究者独立地鉴别筛选文献、提取资料和评估文献偏倚,采用Revman 5.2软件进行数据合并分析.结果 共检索了1 048篇,实际纳入11篇文献,共2 207例哮喘儿童,临床路径组1 174例,对照组1 033例,Meta分析结果显示,实施临床路径的哮喘儿童住院时间较对照组有所缩短,所花的费用亦有所减少,急诊就诊次数低于对照组,健康教育效果好于对照组,差异有统计学意义;临床路径组哮喘儿童住院率比对照组有所降低,但差异无统计学意义.结论 临床路径对于减少哮喘儿童平均住院时间、平均医疗费用、降低急诊就诊次数和提高健康教育效果方面具有一定的现实意义.Objective To evaluate the effectiveness of clinical pathways for pediatric asthma.Methods The literatures on the application of clinical pathways for pediatric asthma were collected in the databases such as PubMed,Cochrane Library,Ovid,ScienceDirect,EBSCOhost,CNKI,Wanfang and CBM while a manual search was added.The search was performed from 1980 to 2014.Two reviewers independently screened references,extracted data and assessed the risk of bias.Data was pooled and analyzed by using Revman 5.2 version.Results Eleven studies involving 2 207 participants from nearly 1 048 relevant studies met the inclusion criteria.1 174 participants were in the clinical pathway group while the other 1 033 participants were in the control group.Meta-analysis result showed that patients with asthma in a clinical pathway had a shorter length of stay,less medical cost,reduced rate of emergency room visits,and improved health education.However,clinical pathway did not appear to reduce readmission.Conclusions Clinical pathway can significandy reduce the length of hospital stay,cost,rate of emergency room visits and improve health education.

关 键 词：哮喘 儿童 临床路径 META分析 

分 类 号：R473.72[医药卫生—护理学]