摘要
目的评价特殊体位护理对比常规护理对视网膜脱落术后患者的护理效果。方法系统检索Medline、EMBASE、CochraneLibrary、WebofScience、CBM、CNKI和万方7个数据库。2名研究人员独立筛选文献、提取数据、评价纳人研究的偏倚风险。根据异质性检验结果选择随机效应模型或固定效应模型合并数据。结果共纳入10个研究，共946例患者。纳入研究的方法学和报告质量较低。与常规护理相比，特殊体位护理能够明显降低视网膜脱落术后再脱的发生率（艘=0．31，95％C10．16—0．60，P=0．0005）、术后并发症总体发生率（RR=0．35，95％CIO．28—0．44，JP〈0．01）以及具体并发症的发生率，如角膜水肿、眼睑部水肿、高眼压和术眼疼痛，减少强迫体位带来的不舒适感（RR=0．51，95％C10．40～0．66，P〈0．01）和不满意感（RR=0．15，95％C10．05—0．49，P=0．002），提高术后视力的恢复（RR=1．18，95％C11．01～1．37，P=0．0005）。结论特殊体位护理相比于常规护理能够明显降低视网膜再脱和术后并发症的发生率，明显提高术眼视力的恢复以及护理的舒适度和满意度。
Objective To assess the effectiveness of special body position comparing with regular nursing on the patients after the surgery for retinal detachment. Methods We searched seven electronic databases including Medline, EMBASE, Cochrane Library, Web of Science, CBM, CNKI and Wanfang. Two independent reviewers identified the eligible studies, extracted the data and evaluated the risk of bias of the included studies. We chose the random or fixed effect model to synthesize the data based on the result of the test of heterogeneity. Results We totally included ten studies with 946 patients. The methodological and reporting quality of the included studies was relatively low. Compared to the regular nursing, the special body position could reduce the re-incidence of retinal detachment again （RR = 0.31, 95% CI： 0.16-0.60, P=0.0005）, the total rate of postoperative complications （RR = 0.35,95% CI： 0.28-0.44, P〈0.01） and the specific complications such as corneal edema, palpebral edema, intraocular hypertension and pain of the operative eyes, the uncomfortable and unsatisfactory feeling caused by forcing body position （RR = 0.51,95%Ch 0.40-0.66, P〈0.01; RR = 0.15,95%CI： 0.05-0.g9, P=0.002, respectively）, and promote the rehabilitation of vision （RR = 1.18, 95% Ch 1.01- 1.37, P=0.000 5）. Conclusions The special body position comparing with regular nursing could apparently reduce the reincidence of retinal detachment and postoperative complications and improve the rehabilitation of vision, comfortable and satisfactory of nursing.
出处
《中国实用护理杂志》
2018年第2期147-153,共7页
Chinese Journal of Practical Nursing
