摘要
目的运用循证医学Meta分析的方法探讨临床路径应用于脑梗死患者的影响。方法计算机检索CNKI、万方数据库、VIP、CBM,时间从建库截止到2013年8月,检索临床路径应用于脑梗死患者的随机对照试验(RCT),对纳入研究进行Meta分析。结果共纳入13个RCT,分析结果显示,临床路径组与对照组在平均住院天数[SMD=-0.99,95%CI(-1.12,-0.87),P<0.00001]、平均住院费用[SMD=-0.89,95%CI(-1.05,-0.73),P<0.00001]、护理满意度[RR=1.14,95%CI(1.08,1.20),P<0.00001]、患者的自理能力恢复率[RR=1.17,95%CI(1.08,1.25),P<0.0001]等方面差异均有统计学意义。结论对脑梗死患者实施临床路径,能明显缩短平均住院天数、降低平均住院费用、提高护理满意度和患者自理能力恢复率。由于纳入研究质量和数量有限,本研究结论尚需大样本高质量临床研究进一步证实。
Objective To evaluate the efficacy of clinical pathway applied in patients with cerebral infarction. Methods Randomized controlled trial （RCT） with clinical pathway applied in cerebral infarction patients were retrieved from CNKI, Wanfang, VIP and CBM database, time extent from the beginning of the database to August 2013, then taken into this research, average hospital stay, expense, etc were calculated for clinical pathway group and the control group. Results Totally 13 RCT were recruited into our research, the analysis results show that the average hospital stay difference [SMD = -0.99, 95% C1 （-1.12, -0.87）, P〈0.00001], average medical expense expenses [SMD = -0.89, 95% CI （-1.05, -0.73）, P〈0.00001]r nursing satisfaction [RR = 1.14, 95% CI （1.08, 1.20）, P〈0.00001], patient＇s physical ability recovery rate [RR = 1.17, 95% CI （1.08, 1.25）, P〈0.0001] between clinical pathway group and control group were all statistical significance. Conclusion The patients with cerebral infarction the clinical pathway can significantly reduce the average hospital stay and medical expense, and improve nursing satisfaction and physical ability recover.
出处
《当代医学》
2015年第11期7-9,共3页
Contemporary Medicine
关键词
临床路径
脑梗死
META分析
Clinical pathway
Cerebral infarction
Meta analysis
