循证护理在预防我国产妇产后出血中应用效果的Meta分析  

The effect of evidence-based nursing in the prevention of postpartum hemorrhage effect in our country： A Meta analysis

作　　者：崔英善[1] 程丽楠[1] 崔文香[1] 

机构地区：[1]延边大学护理学院,延吉133002

出　　处：《中国实用护理杂志》2015年第2期123-127,共5页Chinese Journal of Practical Nursing

摘　　要：目的系统评价循证护理在预防我国产妇产后出血中应用的效果。方法利用计算机检索国内相关文献，根据NoteExpress软件进行文献筛选和查重，对纳入符合标准的非随机或随机对照试验（RCT）文献采用RevMan5．2软件进行数据合并分析。结果共纳入22篇文献，采用固定效应模型分析，统计结果显示，OR=0．29，95％CI（0．22，0．39），P〈0．01；更换统计模型进行敏感性分析结果显示，OR=0．31，95％CI（0．24，0．42），P〈0．01，提示研究结果稳定性高，结论可靠。结论应用循证护理可以显著降低我国产妇产后的出血率，值得在临床推广使用。Objective We aimed to assess systematically the effect of evidence-based nursing in the prevention of postpartum hemorrhage in puerpera of our country. Methods Relative literature was searched by computer at home according to the inclusion and the exclusion criteria, which was analyzed by RevMan5.2 software, and literature selection and repetition was used according to the Note Express soft- ware. Results A total of 22 studies were brought into the study, the statistical result was analyzed by fixed effect model and the result was 0R=0.29, 95%CI （0.22, 0.39）, P 〈 0.01. The sensitive analysis was carried out by replacement of statistical models, the result was 0R=0.31,95%CI （0.24,0.42）,P 〈 0.01, which indi- cated that the result was stable and reliable. Conclusions The results of this study show that the applica- tion of evidence-based nursing can significantly reduce the postpartum hemorrhage rate in China, which is worthy of application in clinic.

关 键 词：循证护理 产妇 产后出血 META分析 

分 类 号：R473.71[医药卫生—护理学]