延续护理对糖尿病足高危患者干预效果的Meta分析  

Meta analysis of the effect of continuing nursing intervention on high risk patients with diabetic foot

作　　者：王博[1] 吴琼 张苹 陈莉军[1] Wang Bo;Wu Qiong;Zhang Ping;Chen Lijun(School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学护理学院,济南250355

出　　处：《中国实用护理杂志》2019年第10期794-800,F0003,共8页Chinese Journal of Practical Nursing

基　　金：山东省2017研究生导师指导能力提升普通项目(SDYY17114);2018年度山东省青少年教育科学规划课题(18BSH303)。

摘　　要：目的评价延续护理对我国糖尿病足高危患者的干预效果。方法于中国维普全文数据库(VIP)、中国知网全文数据库(CNKI)、中国生物医学文献数据库(CBM)、万方、PubMed、Science图书馆、Cochrane、Embase、Web of science、CINAHL数据库中计算机检索2018年6月之前公开全文发表的有关对糖尿病足高危患者进行延续护理的随机对照试验,由2名研究员依据纳入和排除标准筛选文献,采用Cochrane协作网的文献质量标准对文献质量进行评价和提取资料,并根据各个结局指标测定时间的不同分成相应不同的亚组,采用RevMan5.3软件对符合要求的文献进行Meta分析。结果共纳入13篇随机对照试验进行Meta分析,包括1450例研究对象,干预组721例,对照组729例。延续护理可以有效降低糖尿病足高危患者的空腹血糖值(合并效应量MD=-1.34,95%CI-1.44^-1.24,P<0.01),有效降低其糖化血红蛋白值(合并效应量MD=-0.75,95%CI-1.24^-0.27,P=0.002),有效降低其糖尿病足发生率(合并效应量RR=0.31,95%CI0.24~0.40,P<0.01),延续护理还可提高患者的自我管理能力及自我足部护理能力。结论延续护理干预能够降低糖尿病足高危患者的空腹血糖值、糖化血红蛋白值及糖尿病足发生率,提高其自我管理能力和自我足部护理能力,对预防和减少糖尿病足的发生发展具有重要意义。Objective To evaluate the effect of continuous care on patients with high risk of diabetic foot in China.Methods A random control of continuing care for patients with diabetes foot at high risk before June 2018 was published in the full text of the Chinese VP full text database(VIP),the full text database(CNKI),the Chinese biomedical literature database(CBM),Wan Fang,PubMed,Science Library.The test(randomized clinical trial),by 2 researchers,according to the inclusion and exclusion criteria,the literature quality was evaluated and extracted by the document quality standard of Cochrane cooperation network,and the different subgroups were divided according to the difference of the determination time of each outcome index,and the RevMan5.3 software was used to match the data.The required literature is analyzed by Meta.Results A total of 13 randomized clinical trials were included in the Mate analysis,including 1 450 subjects,721 in the intervention group and 729 in the control group.The results showed that continuous nursing could effectively reduce the value of fasting blood glucose(combined effect MD=-1.34,95%CI-1.44--1.24,P<0.01),and effectively reduce the value of glycosylated hemoglobin(combined effect MD=-0.75,95%CI-1.24--0.27,P=0.002),and reduce the diabetic foot in patients with diabetic foot risk(combined effect RR=0.31,95%CI 0.24-0.40,P<0.01).Continuous care could improve patients′ self-management ability and self-foot nursing ability.Conclusions Continuous care can reduce the fasting blood glucose,glycosylated hemoglobin and the incidence of diabetic foot in high-risk patients with diabetic foot,improve their self-management ability and self-foot nursing ability,which is of great significance to prevent and reduce the occurrence and development of diabetic foot.

关 键 词：延续护理 糖尿病足 干预性研究 META分析 

分 类 号：R473.5[医药卫生—护理学]