灵活家庭探视制度对ICU患者谵妄影响的Meta分析  

Effect of flexible family visitation on delirium among patients in the intensive care unit:a meta-analysis

作　　者：徐傲然 黎张双子 崔安妮 沈锋 董天菊 Xu Aoran;Li Zhangshuangzi;Cui Anni;Shen Feng;Dong Tianju(Nursing School of Guizhou Medical University,Guiyang 550004,China)

机构地区：[1]贵州医科大学护理学院,贵州贵阳550004 [2]贵州医科大学附属医院重症医学科

出　　处：《护理学杂志》2024年第3期70-73,共4页Journal of Nursing Science

基　　金：贵州医科大学护理学科专项课题(YJ20073);贵州医科大学附属医院科研项目(GYHLZJ-2019-01-01)。

摘　　要：目的评价灵活家庭探视制度对ICU患者谵妄的影响,为针对性干预提供参考。方法计算机检索PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据等有关灵活家庭探视制度对ICU患者谵妄影响效果的研究,检索时限从建库至2023年1月13日,由2名研究者独立筛选文献、提取资料、评价质量后进行Meta分析。结果共纳入17篇文献,Meta分析结果显示,与常规探视制度相比,灵活家庭探视制度能有效降低患者谵妄发生率[OR=0.41,95%CI(0.31,0.55),P<0.05]。结论灵活家庭探视制度可降低ICU患者谵妄发生率。Objective To evaluate the effect of flexible family visitation on delirium among patients in the intensive care unit,and to provide reference for targeted interventions.Methods We searched PubMed,Cochrane Library,Web of Science,Chinese Biomedical Literature Database(CBM),China National Knowledge Infrastructure(CNKI),and Wanfang database to retrieve randomized cli-nical trials reporting the effect of flexible family visitation on delirium among patients in the intensive care unit,from database inception to 13 January,2023.Two researchers independently screened the literature,extracted the data and evaluated the bias risks of the included studies,then RevMan 5.4 software was used for meta-analysis.Results A total of 17 studies met the inclusion criteria,and the results showed that flexible family visitation could reduce the incidence of delirium[OR=0.41,95%CI(0.31,0.55),P<0.05].Conclusion Flexible family visitation can reduce the incidence of delirium among patients in the intensive care unit.

关 键 词：重症患者 重症监护室 灵活家庭探视制度 谵妄 META分析 重症护理 

分 类 号：R473.6[医药卫生—护理学] C931.3[医药卫生—临床医学]