延续性护理在社区糖尿病患者中运用效果的系统评价  

Systemic review about the effect of the application of continuity nursing in community diabetes

作　　者：何文静[1] 王爱民[1] 叶洪江[1] 张玲[1] 姚燕霞 

机构地区：[1]南京军区福州总医院内分泌科,350100

出　　处：《中国实用护理杂志》2015年第12期880-885,共6页Chinese Journal of Practical Nursing

摘　　要：目的 系统评价延续性护理在社区糖尿病患者中的运用效果.方法 制订原始文献纳入标准和检索策略,电子检索PubMed、Cochrane Library、EMBASE、ScienceDirect、中国生物医学文献数据库、万方数据库、中国期刊全文数据库等,各数据库检索时间均从创建到2014年5月30日.由2位评价者按照纳入与排除标准独立进行文献筛选、资料提取和质量评价后,采用RevMan 5.2软件进行Meta分析.结果 最终纳入5个随机对照试验,共156例糖尿病患者.Meta分析结果显示：干预组空腹血糖、餐后2h血糖、糖化血红蛋白、依从性方面优于对照组,差异均有统计学意义,P＜0.05;糖尿病知识评分和生命质量这2项指标由于数据不能转换未能做Meta分析,只进行描述性分析,显示2组在上述指标方面差异有统计学意义[如在糖尿病知识评分方面,干预组（9.63±0.28）分比对照组（3.28±0.42）分,P＜ 0.05].结论 延续性护理能够提高社区糖尿病患者依从性、糖尿病知识评分和生命质量,同时患者空腹血糖、餐后2h血糖、以及糖化血红蛋白也得到改善.但受纳入研究数量和质量限制,上述结论尚需开展更多大样本、高质量的随机对照试验加以验证.Objective Systemic analysis the effect of the application of continuity nursing in community diabetes.Methods Retrieve documents from the PubMed,Cochrane Library,EMBASE,Science Direct,CBM,WANFANG Data and CNKI.Dating from the dates of establishment to May,2014.Randomized controlled trials （RCTs） on continuity of patient care for patients with diabetes were included.Two reviewers independently screened the literature according to the inclusion and exclusion criteria,extracted the data and assessed the quality of the included studies,and then meta-analysis was performed by RevMan 5.1 software.Results 5 RCTs （156 cases with diabetes） were involved into this Meta-analysis.The experimental group was superior to the control group in FBG,2h PBG,HbA1c and the level of treatment compliance,with statistically significant differences,P〈0.05.The descriptive analysis showed that the differences in the score of diabetes knowledge and the quality of life were statistically significant,P〈0.05,because the data could not be converted.Conclusions The continuity nursing can improve the compliance and the quality of life of community diabetes,ameliorate certain biochemical indicators.Study of large sample and RCTs should be take because of the existence of some restraining factors.

关 键 词：社区保健护理 糖尿病 META分析 随机对照试验 

分 类 号：R473.2[医药卫生—护理学]