护理健康教育对老年患者全口义齿修复效果的系统评价  

Efficacy of nursing health education on elderly patients with restoration of complete denture:a meta-analysis

作　　者：周倩妹[1] 谢晓静[1] 马桂娟[1] 胡菁颖[1] ZHOU Qianmei XIE Xiaojing MA Guijuan HU Jingying(Hospital of Stomatology, Peking University, Beijing, 100081, P.R.China)

机构地区：[1]北京大学口腔医院,北京100081

出　　处：《中国循证医学杂志》2017年第7期829-834,共6页Chinese Journal of Evidence-based Medicine

摘　　要：目的系统评价护理健康教育对老年患者全口义齿修复效果的影响。方法计算机检索Joanna Briggs Institute Library、The Cochrane Library、PubMed、CBM、CNKI、WanFang Data数据库,搜集护理健康教育对老年患者全口义齿修复效果的随机对照试验,检索时限均为建库截至2016年3月。由2位研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.2软件进行Meta分析。结果共纳入13个随机对照试验,包括1 086例接受全口义齿修复的老年患者,其中健康教育组575例,常规护理组511例。Meta分析结果显示:健康教育组的有效率[RR=1.26,95%CI(1.12,1.41),P<0.000 1]、相关知识掌握程度[RR=1.30,95%CI(1.16,1.45),P<0.000 01]和对戴用义齿的满意度[语音:MD=0.21,95%CI(0.09,0.32),P=0.000 4;固位:MD=0.18,95%CI(0.06,0.30),P=0.003;舒适性:MD=0.43,95%CI(0.22,0.63),P<0.000 1]均优于常规护理组。结论本研究结果显示,护理健康教育能改善老年患者全口义齿修复效果。受纳入研究数量和质量的限制,上述结论尚需要更多研究予以证实。Objective To evaluate the nursing health education for elderly patients with restoration of complete denture by meta-analysis. Methods We searched the Joanna Briggs Institute Library, The Cochrane Library, PubMed, CBM, CNKI and WanFang Data from inception to March 2016 to collect RCTs about nursing health education for elderly patients with restoration of complete denture. Two researchers independently screened literatures, extracted data and assessed the risk of bias of included studies. Then meta-analysis was performed by RevMan 5.2 software. Results Thirteen RCTs including 1 086 elderly patients who underwent restoration of complete denture were included, invoMng 575 cases in nursing health education group and 511 in normal nursing group. The results of meta-analysis showed that： the total effective rate （RR=1.26, 95%CI 1.12 to 1.41, P〈0.000 1）, the degree of mastering related knowledge （RR=I.30, 95%CI 1.16 to 1.45, P〈0.000 01） and satisfaction of complete denture （voice： MD=0.21, 95%CI 0.09 to 0.32, P=0.000 4; retention： MD=0.18, 95%CI 0.06 to 0.30, P=0.003; comfort： MD=0.43, 95%CI 0.22 to 0.63, P〈0.000 1） in health education group were superior to the control group. Conclusion Nursing health education is effective for elderly patients with restoration of complete denture. Due to the limited quantity and quality of include studies, the above conclusions are still needed to be verified by more studies.

关 键 词：健康教育 老年患者 义齿修复 系统评价 META分析 随机对照试验 

分 类 号：R473.78[医药卫生—护理学]