系统性护理干预对乳腺癌化疗患者癌因性疲乏作用的系统评价  

Systematic assessment for systematic nursing intervention of breast cancer patients with chemotherapy and cancer related fatigue：a meta-analysis

作　　者：黎秋霞[1] 甘海洁[2] 罗雪红[3] 

机构地区：[1]广西医科大学第一附属医院体检部,南宁530027 [2]广西医科大学附属肿瘤医院化疗二科,南宁530021 [3]广西壮族自治区人民医院门诊部,南宁530021

出　　处：《中华现代护理杂志》2015年第2期129-133,共5页Chinese Journal of Modern Nursing

摘　　要：目的：分析系统性护理干预与常规护理干预两种护理方式在缓解乳腺癌化疗患者癌因性疲乏应用的差别。方法全面检索万方期刊数据库、中国期刊全文数据库、维普期刊全文数据库，收集关于系统性护理干预与常规护理干预在乳腺癌化疗患者癌因性疲乏作用对比的研究，采用Jadad量表对所有纳入的文献进行证据质量评价，运用统计学软件Stata和SAS，对癌因性疲乏和生活质量的观察指标进行Meta分析。结果共纳入13项研究，1322例患者，其中系统性护理组662例，常规护理组660例。系统性护理组缓解癌因性疲乏的作用优于常规护理组[OR（95％CI）＝3．497（2．838～4．310），P ＜0．01]；在提高生活质量方面也优于常规护理组（ SMD＞0，P＜0．05）。结论系统性护理干预在缓解乳腺癌化疗患者癌因性疲乏和提高患者生活质量方面明显优于常规护理干预，值得临床推广应用。Objective To retrieve the research or comparison of systematic nursing intervention and routine nursing intervention on breast cancer patients with chemotherapy and cancer related fatigue.Methods We searched from the database of Wanfang Data, China National Knowledge Infrastructure and VIP database.All literature had been taken Jadad scale to evaluate evidence quality, and utilized statistical software Stata and SAS to do meta-analysis for telling the differences of systematic nursing intervention and routine nursing intervention. Results This study involved 14 researches and 1 392 patients, in which were 697 cases of systematic nursing and 695 cases of routine nursing.Systematic nursing intervention was better than routine nursing intervention to cope with fatigue caused by cancer [OR（95%CI） =3.497（2.838-4.310）;P〈0.01], and presented the same trend at improving quality of life （SMD〉0;P〈0.05）.Conclusions Systematic nursing intervention is worthy to promote in clinic.

关 键 词：乳腺肿瘤 系统性护理干预 癌因性疲乏 生活质量 综述文献 

分 类 号：R473.73[医药卫生—护理学]