摘要
目的评价护理干预对肺结核患者的遵医行为是否有影响。方法采用Cochrane系统评价的方法,计算机检索Pubmed(1966年1月—2012年5月)、EMbase(1974年1月—2012年5月)、Cochrane图书馆、中国期刊全文数据库(1994年1月—2012年5月)、中国生物医学文献数据库(1978年1月—2012年5月)、万方数据库(1990年1月—2012年5月),搜集有关护理干预对肺结核患者遵医行为影响的随机对照试验和半随机对照试验。采用澳大利亚JBI循证卫生保健中心对干预性研究的真实性评价表对纳入研究进行方法学质量评价,而后提取有效数据并采用RevMan 5.0软件进行Meta分析。结果依照纳入和排除标准,共纳入14个研究,纳入研究的文献质量均较低;Meta分析结果显示:护理干预6个月、9个月后总的遵医行为差异均有统计学意义;护理干预6个月后遵医行为的具体指标有:规律用药,定期复查,按时休息,注意消毒卫生,合理饮食,戒烟限酒。结论护理干预可以提高肺结核患者遵医行为,有效提高患者自控能力,增强患者对肺结核病的认识,对肺结核患者的治疗有积极意义。由于纳入研究的文献质量均较低,今后的研究应该有更严格的设计,从而提供更有力的证据。
Objective To evaluate the effect of nursing intervention on medical compliance of patients with pulmonary tuberculosis. Methods With the method of Cochrane system evaluation, the search for randomized controlled trials and semi-randomized controlled trials for the effect of nursing intervention on medical compliance of patients with pulmonary tuberculosis was conducted in PubMed （from Jan. 1966 to May 2012）, EMbase （from Jan. 1974 to May 2012）, Cochrane Library, CJFD （from Jan. 1994 to May 2012）,-CBMDisc （from Jan. 1978 to May 2012）, Wanfang Data （from Jan. 1990 to May 2012）. Authentic assessment of intervention studies of Australian JBI Effective Healthcare Center was applied to do quality evaluation of methodology and RevMan 5.0 software for Meta-analysis. Results In the study, 14 trials were included and the quality of the included trials was low. Meta-analysis showed that the difference between medical compliance after 6 months＇ nursing intervention and 9 months＇ nursing intervention was of statistical significance and the indexes after 6 months＇ nursing intervention included medication compliance, regular inspection, having rest on time, paying attention to health, diet control, stopping smoking and limiting drinking, and all the differences were of statistical significance. Conclusion Nursing intervention can improve medical behavior of patients with pulmonary tuberculosis, increase patients＇ self-controlled capacity and enhance knowledge of pulmonary tuberculosis. It is also beneficial to treating pulmonary tuberculosis.
出处
《护理学报》
2013年第6期1-6,共6页
Journal of Nursing（China）
基金
甘肃省科技攻关计划项目(0708NKCA110)
关键词
肺结核
护理干预
遵医行为
META分析
pulmonary tuberculosis
nursing intervention
medical behavior
Meta-analysis
