临床普外科电子杂志 ›› 2021, Vol. 9 ›› Issue (2): 37-.

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临床护理路径在甲状腺肿瘤手术患者中应用效果的Meta分析

  

  1. 1. 江苏省南通卫生高等职业技术学校 护理系,江苏 南通 226000;2. 南通大学附属医院 普外科三病区,江苏 南通 226001
  • 出版日期:2021-04-01 发布日期:2021-07-14

Meta analysis of the application effect of clinical nursing pathway in patients with thyroid tumor surgery

  1. 1. Nursing Faculty of Nantong Health College of Jiangsu Province, Nantong 226000, Jiangsu;  2. Third Inpatient Area of General Surgery Department of Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu
  • Online:2021-04-01 Published:2021-07-14

摘要:

目的 探讨临床护理路径在甲状腺肿瘤手术患者中的应用效果。方法 计算机检索建库至2019 年6 月中国学术期刊全文数据库(CNKI)、维普期刊数据库(VIP)、万方数据库和中国生物学文献数据库(CBMdisc)等数据库,检索临床护理路径应用于甲状腺手术患者的临床随机对照试验或临床对照试验,筛选文献、提取资料,采用RevMan5.0 软件评价文献质量,最后采用RevMan 5.3 进行分析。结果 共纳入19 篇临床对照研究,包括2371 例甲状腺手术的患者,其中采用临床护理路径(试验组)1193 例,传统护理(对照组)1178 例。试验组患者平均住院时间明显短于对照组,患者满意度及知识掌握度明显高于对照组,患者卧床时间显著短于对照组,患者并发症发生情况显著低于对照组。结论 对甲状腺手术患者实施临床护理路径,能明显缩短患者平均住院时间,提高患者满意度以及对知识的掌握度,减少并发症的发生。

关键词: 临床护理路径, 甲状腺肿瘤, Meta 分析

Abstract:

Objective To explore the application effect of clinical nursing pathway in patients with thyroid tumor surgery. Methods CNKI, VIP database,Wanfang database, CBMdisc and other databases were searched to search the clinical randomized controlled trials or clinical controlled trials of clinical nursing pathway in patients with thyroid surgery from when building the library to June 2019.

The literature was screened and extracted. RevMan 5.0 software was used to evaluate the quality of literature. Finally, RevMan 5.3 was used for analysis. Results A total of 19 clinical controlled studies were included, including 2371 patients with thyroid surgery, including 1193 patients with the clinical nursing pathway (experimental group) and 1178 patients with the traditional clinical nursing (control group). The average hospitalization time of the experimental group was significantly less than that of the

control group, the satisfaction and knowledge mastery of the experimental group was significantly higher than that of the control group, the bed rest time of the experimental group was significantly lower than that of the control group, and the incidence of complications of the experimental group was significantly lower than that of the control group. Conclusion The implementation of clinical nursing pathway for patients with thyroid surgery can significantly shorten the average length of hospital stay, improve patient satisfaction and mastery of knowledge, and reduce the occurrence of complications.

Key words: Clinical nursing pathway, Thyroid tumor, Meta analysis