延续性护理不同干预时间对脑卒中患者运动功能影响的Meta分析  

Meta-analysis of the effects of continuous nursing with different intervention time on motor function in stroke patients

作　　者：李育蔚 宋润珞[2] 王丽军[2] 杨昕怡 刘志霞 王小转 马炳婕 LI Yu-wei(Henan University of Science and Technology,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学护理学院,河南洛阳471003 [2]河南科技大学第一附属医院,河南洛阳471003

出　　处：《牡丹江医学院学报》2024年第4期101-106,共6页Journal of Mudanjiang Medical University

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20210581)。

摘　　要：目的系统评价延续性护理不同干预时间对于脑卒中患者运动功能的影响。方法计算机检索中国知网、万方数据库、维普数据库、PubMed、Cochrane图书馆、Embase等多个中英文数据库中关于对脑卒中患者实施延续性护理干预模式的随机对照试验,检索时限为建库至2023年12月。筛选符合纳入标准的随机对照试验,应用RevMan 5.4软件进行Meta分析。结果共纳入文献19篇,涉及样本量1695例,其中观察组847例,对照组848例。Meta分析结果显示,与常规护理相比,对脑卒中患者实施延续性护理干预1个月[MD=4.69,95%CI(1.93,7.45),P=0.0009]、3个月[MD=8.76,95%CI(7.67,9.86),P<0.00001]、6个月[MD=8.10,95%CI(7.36,8.84),P<0.00001]、12个月[MD=7.76,95%CI(6.20,9.32),P<0.00001]能够提高脑卒中患者肢体运动能力。延续性护理干预1个月、3个月、6个月、12个月相比于常规护理均可有效改善脑卒中患者肢体运动功能,促进运动功能恢复。结论延续性护理干预1个月、3个月、6个月、12个月相比于常规护理均可有效改善脑卒中患者肢体运动功能,促进运动功能恢复。Objective To systematically evaluate the effect of continuous nursing intervention time on motor function of stroke patients.Methods Computer search of randomized controlled trials on the use of continuous nursing in stroke patients from multiple databases such as CNKI,WanFang,WeiPu,PubMed,the Cochrane Library,Embase was performed.The search period was from databases establishment to December 2023,and the Meta-analysis was conducted by RevMan5.4 software.Results A total of 19 articles were included,involving 1695 samples,including 847 in the observation group and 848 in the control group.Meta-analysis results showed that compared with conventional nursing,continuous nursing intervention for 1 month[MD=4.69,95%CI(1.93,7.45),P=0.0009],3 months[MD=8.76,95%CI(7.67,9.86),P<0.00001],6 months[MD=8.10,95%CI(7.36,8.84),P<0.00001],12 months[MD=7.76,95%CI(6.20,9.32),P<0.00001]can improve the limb motor ability of stroke patients.Conclusion Continuous nursing intervention for 1 month,3 months,6 months and 12 months can effectively improve the motor function of stroke patients and promote the recovery of motor function compared with conventional nursing.

关 键 词：脑卒中 延续性护理 运动功能 干预时间 META分析 

分 类 号：R473.74[医药卫生—护理学]