检索规则说明:AND代表“并且”;OR代表“或者”;NOT代表“不包含”;(注意必须大写,运算符两边需空一格)
检 索 范 例 :范例一: (K=图书馆学 OR K=情报学) AND A=范并思 范例二:J=计算机应用与软件 AND (U=C++ OR U=Basic) NOT M=Visual
作 者:梁桂兴[1] 曹茁 欧爱华[1] 黄楚君[1] 许银姬[1] 丁美祝[1] LIANG Guixing;CAO Zhuo;OU Aihua;HUANG Chujun;XU Yinji;DING Meizhu(Guangdong Provincial Hospital of Chinese Medicine,Guangdong 510120 China)
机构地区:[1]广东省中医院,广东510120
出 处:《循证护理》2021年第17期2273-2279,共7页Chinese Evidence-Based Nursing
基 金:广东省中医院中医药科学技术研究专项资助项目,编号:YN2018YY10。
摘 要:目的:系统评价心理干预对慢性阻塞性肺疾病病人无创正压辅助通气的应用效果。方法:通过计算机检索中国知网、维普数据库、万方数据库、中国生物医学文献数据库、PubMed、EMbase、the Cochrane Library、Web of Sciense等中文、英文数据库,收集所有符合标准的随机对照试验文献,对纳入文献进行质量评价和Meta分析,使用RevMan 5.3软件进行统计处理。结果:共纳入11篇随机对照试验文献,试验组480例,对照组488例。Meta分析结果显示:心理干预可有效提高慢性阻塞性肺疾病病人使用无创正压通气依从性[OR=2.84,95%CI(2.17,3.72),P<0.00001],提高病人氧分压(PaO_(2))值[MD=4.09,95%CI(3.98,4.19),P<0.00001],降低二氧化碳分压(PaCO 2)值[MD=-8.17,95%CI(-12.32,-4.02),P=0.0001]。结论:现有证据表明,心理干预能够有效提高慢性阻塞性肺疾病病人无创正压通气的依从性及改善血氧指标,选择合适的心理干预措施是提高无创正压通气依从性效果的重要因素。Objective:To systematically evaluate the effect of psychological intervention on non-invasive positive pressure assisted ventilation in patients with chronic obstructive pulmonary disease.Methods:All randomized controlled trials that meet the standards were retrieved from Chinese and English databases including CNKI,VIP,WanFang Database,CBM,PubMed,EMbase,the Cochrane Library,Web of Sciense.The included literature was evaluated for quality and Meta analysis,and RevMan 5.3 software was used for statistical analysis.Results:A total of 11 randomized controlled trials were included,involving 480 cases in the case test group and 488 cases in the control group.Meta-analysis results showed that psychological intervention effectively improves the compliance of patients with chronic obstructive pulmonary disease in using non-invasive positive pressure ventilation[OR=2.84,95%CI(2.17,3.72),P<0.00001];the effect of increasing PaO 2 in the psychological intervention group was better than that of the conventional nursing group[MD=4.09,95%CI(3.98,4.19),P<0.00001];the effect of reducing PaCO_(2) was better than that of the conventional nursing group[MD=-8.17,95%CI(-12.32,-4.02),P=0.0001].Conclusion:Current evidence shows that psychological intervention can effectively improve the compliance of COPD patients with non-invasive positive pressure ventilation and improve the blood oxygen index.Choosing appropriate psychological intervention measures is an important factor to improve the compliance of non-invasive positive pressure ventilation.
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在链接到云南高校图书馆文献保障联盟下载...
云南高校图书馆联盟文献共享服务平台 版权所有©
您的IP:216.73.216.222