摘要
目的评价基于改良早期预警评分护送方案在急危重症患者院内转运中应用效果。方法计算机和手动结合检索中国知网、中国生物医学文献数据库、万方数据库、维普数据库、PubMed、EMbase、OVID、EBSCO和Cochrane图书馆中关于基于改良早期预警评分护送方案在急危重症患者院内转运中应用效果的随机对照试验和类实验性研究。检索时限均从2001年7月—2020年8月,由3名研究者严格筛选文献、提取资料、评价质量。运用RevMan 5.3软件对纳入的随机对照研究和类试验性研究进行Meta分析。结果共纳入19篇文献,随机对照试验为6篇,类实验性研究为13篇。Meta分析结果显示,应用基于改良早期预警评分护送方案,能够减少不良事件发生率[OR=0.27,95%CI(0.24,0.30),P<0.01],提高患者及家属满意度[OR=3.91,95%CI(2.79,5.49),P<0.01],提高接收科室满意度[OR=4.72,95%CI(2.87,7.77),P<0.01],缩短转运时间[MD=-2.47,95%CI(-2.68,-2.25),Z=22.26,P<0.01],差异均有统计学意义。结论针对院内转运的急危重症患者,基于改良早期预警评分护送方案与常规转运方式相比具有优越性,可以有效降低不良事件发生率,提高患者及家属满意度、接收科室满意度,缩短转运时间。
Objective To evaluate the effect of transfer scheme based on the modified early warning score(MEWS)in the transportation of critically ill patients in hospital.Methods Computer and manual search of CNKI,CBM,Wanfang Database,VIP,PubMed,EMBASE,Ovid,EBSCO and Cochrane libraries for randomized controlled trials(RCTs)and quasi experimental studies on the application effect of transfer scheme based on MEWS in in-hospital transfer of critically ill patients were conducted.The retrieval time was fromJuly 2001 to August 2020.Three researchers strictly screened the literature,extracted and evaluated the quality of the data.RevMan 5.3 software was used to conduct Meta-analysis.Results There were 19 articles,including 6 RCTs and 13 quasi experimental studies.Meta-analysis showed that MEWS-based transfer scheme could reduce the incidence of adverse events[OR=0.27,95%CI(0.24,0.30),P<0.01],improve the satisfaction of patients and their families[OR=3.91,95%CI(2.79,5.49),P<0.01],and the satisfaction of related departments[OR=4.72,95%CI(2.87,7.77),P<0.01],and shorten the transfer time[MD=-2.47,95%CI(-2.68,-2.25),Z=22.26,P<0.01].The differences were statistically significant.Conclusion For critically ill patients transferred in hospital,MEWS-based transfer scheme can effectively reduce the incidence of adverse events,improve the satisfaction of patients and their families,the satisfaction of related departments,and shorten the transfer time.
作者
陆涵
赵媛
朱晓丽
林惠仙
史婷婷
LU Han;ZHAO Yuan;ZHU Xiao-Li;LIN Hui-xian;SHI Ting-ting(School of Nursing,Dali University,Dali 671000,China;Dept.of Endocrinology,the First Affiliated Hospital of Dali University,Dali 671000,China;Dept.of Nursing Administration,the Third People’s Hospital of Yunnan Province,Kunming 650000,China)
出处
《护理学报》
北大核心
2021年第4期19-25,共7页
Journal of Nursing（China）
基金
国家自然科学基金地区科学基金项目(71864038)。
