摘要
目的:运用循证医学Meta分析方法探讨护理临床路径对我国抑郁症患者住院时间、费用及满意度的影响。方法:采用主题词结合自由词原则,检索国内中文数据库收集的相关文献,根据纳入标准筛选择文献并提取数据,采用STATA 12.0软件进行Meta分析。组间差异采用标准均数差(standardized mean difference,SMD)或优势比(odds ratio,OR)及其95%可信区间(95%CI)描述。结果:本研究共计纳入5篇临床对照研究,包括652例抑郁症患者,其中护理临床路径组323例,常规护理组329例。Meta分析结果显示,护理临床路径组抑郁症患者平均住院时间、平均住院费用及护理满意度与常规护理组比较,差异均具有统计学意义(平均住院时间差异:SMD=-1.35,95%CI=-1.53^-1.17,P<0.001;平均住院费用差异:SMD=-1.66,95%CI=-1.89~1.43,P<0.001;护理满意度差异:OR=9.01,95%CI=4.24~19.17,P<0.001)。结论:护理临床路径可显著缩短抑郁症患者的住院时间、降低住院费用,并可提高患者的护理满意度。
Objective： This meta-analysis aimed to investigate the influence of clinical pathway for patients with depression on nursing satisfaction, length and cost of hospital stay. Methods： Data collection of relevant clinical controlled trials were extensively selected from Chinese databases. Meta-analysis was conducted by STATA 12.0 software. Standardized mean difference （SMD） or odds ratio （OR） with 95% confidence intervals （CI） were calculated. Results： According to inclusion criteria, three clinical controlled studies were assessed with a total of 652 patients with depression, including 323 patients in the clinical pathway group and 329 patients in the contol group. Meta-analysis showed that clinical pathway may shorten length of stay （SMD = -1.35,95%CI = -1.53~ -1.17,P 〈 0.001）, reduce the hospital cost （SMD = -1.66,95%CI = -1.89~1.43,P 〈 0.001）, and improve nurse satisfaction of patients （OR = 9.01,95%CI = 4.24~19.17,P 〈 0.001）. Conclusion： The present meta-analysis indicates that nursing clinical pathway may significantly reduce length and cost of hospital stay and improve nursing satisfaction for patients with depression.
出处
《现代医学》
2014年第1期65-69,共5页
Modern Medical Journal
关键词
临床路径
抑郁症
临床对照研究
META分析
nursing clinical pathway
depression
clinical controlled trials
meta- analysis
