摘要
目的系统评价量化运动干预对结肠镜检查肠道准备效果的有效性.方法系统检索the Cochrane Library、JBI循证数据库、EMbase、Web of Science、CINAHL、Medline、CNKI、中国生物医学文献数据库(CBM)和万方数据库中关于量化运动干预对结肠镜检查肠道准备效果的随机对照试验(RCT),检索时限均为建库至2019年4月.筛选文献,提取资料并评价质量后,采用 RevMan 5.3软件进行 Meta分析.结果共纳入11项研究,共2 067例患者,干预组1 038例,对照组1 029例.8项研究结果表明采用量化运动干预方案可以改善患者的肠道准备质量(OR=2.24,95%CI 1.17~4.29,P=0.01);8项研究结果表明,采用量化运动干预方案可以降低患者服用肠道准备试剂的不良反应发生率(OR=0.42, 95%CI 0.22~0.82,P=0.01).2项研究结果表明,采用量化运动干预方案可以有效提高患者的护理满意度(OR=4.97,95%CI 2.31~10.67,P<0.000 1).结论量化运动干预可有效改善患者的结肠镜检查前肠道准备质量,降低不良反应发生率,提高护理满意度.
Objective To systematically evaluate the effectiveness of quantitative exercise intervention in intestinal preparation for colonoscopy.Methods The Cochrane Library,JBI evidence-based database,EMbase,Web of Science,CINAHL,Medline,CNKI,Chinese Biomedical Literature Database(CBM)and Wanfang Database were searched systematically on randomized controlled trials about quantitative exercise intervention for bowel preparation for colonoscopy from the databases'establishment date to April of 2019.After screening literature,extracting data and evaluating quality,RevMan 5.3 software was used for Meta-analysis.Results A total of 11 studies were included,including 2067 patients,1038 in the intervention group and 1029 in the control group.Eight studies showed that quantitative exercise intervention could improve the quality of bowel preparation(OR=2.24,95%CI 1.17-4.29,P=0.01);eight studies showed that quantitative exercise intervention could reduce the incidence of adverse reactions(OR=0.42,95%CI 0.22-0.82,P=0.01).The results of two studies showed that the nursing satisfaction of patients could be effectively improved by using quantitative exercise intervention(OR=4.97,95%CI 2.31-10.67,P<0.0001).Conclusions Quantitative exercise intervention can effectively improve the quality of bowel preparation before colonoscopy,reduce the incidence of adverse reactions and improve nursing satisfaction.
作者
柴倩文
齐鑫
魏力
Chai Qianwen;Qi Xin;Wei Li(Tianjin Medical University General Hospital Airport Hospital,Tianjin 300308,China;Surgical Department,Tianjin Medical University General Hospital,Tianjin 300052,China)
出处
《中华现代护理杂志》
2019年第29期3755-3760,共6页
Chinese Journal of Modern Nursing
关键词
META分析
结肠镜检查
肠道准备
量化运动干预
Meta-analysis
Colonoscopy
Bowel preparation
Quantitative exercise intervention
作者简介
通信作者:魏力,Email:weili066100@126.com。
