循证护理应用于经尿道前列腺电切患者的Meta分析  

Meta-analysis of evidence-based nursing of patients with transurethral resection of prostate

作　　者：周庆云[1] 卫中庆[1] 陈星梅[1] 

机构地区：[1]南京医科大学第二附属医院手术室,江苏南京210011

出　　处：《实用临床医药杂志》2014年第22期71-74,共4页Journal of Clinical Medicine in Practice

基　　金：江苏省科技厅国际合作项目(BZ2005008);国家留学人员择优基金(SRL05034)

摘　　要：目的分析评价循证护理在前列腺电切患者中的应用。方法通过各主要数据库及搜索引擎,检索和筛选有关循证护理应用于前列腺电切患者的随机对照试验(RCT)以及非随机对照试验(NRCT)论文,对纳入研究进行质量评价、筛查,进行资料提取后,采用STATA 11.0软件进行Meta分析。结果循证护理组与对照组在术后膀胱痉挛发生率、继发性出血发生率、暂时性尿失禁发生率、平均住院时间以及患者满意度方面的差异均具有统计学意义,循证护理模式具有较大优势。结论循证护理应用于前列腺电切患者,能有效地降低术后并发症发生率,缩短住院时间,提高患者满意度,但由于此类临床试验样本量较小,尚需大样本多中心的前瞻性临床RCT试验进一步进行评估分析。Objective To explore the application of evidence-based nursing of patients with transurethral resection of prostate （TURP）.Methods Main database and searching engine were used to collect the literatures of randomized controlled trials （RCT）and non-randomized con-trolled trials （NRCT）applying evidence-based nursing for.The literatures were screened by quali-ty assessment and meta-analysis of STATA11.0 software was applied.Results There were sta-tistical significant differences in the incidence of bladder spasms,secondary hemorrhage,temporary incontinence,the average length of hospitalization and patients’satisfaction after operation in the two groups,which suggested that evidence-based nursing was superior.Conclusion The applica-tion of evidence-based nursing on TURP could reduce the incidence of bladder spasms,secondary hemorrhage,temporary incontinence and the average length of hospitalization and increase patients’ satisfaction.However,the samples of research are small,so clinical RCT trials in large scale are needed for further assessment analysis.

关 键 词：前列腺增生 循证护理 经尿道前列腺电切 META 分析 

分 类 号：R473.6[医药卫生—护理学]