| 姜淑玲,胡欣,戚燕.护理干预对颅脑损伤并发精神障碍患者治疗效果的Meta分析[J].井冈山大学自然版,2017,(4):102-106 |
| 护理干预对颅脑损伤并发精神障碍患者治疗效果的Meta分析 |
| META ANALYSIS ON CURATIVE EFFECT OF NURSING INTERVENTION IN PATIENTS WITH CRANIOCEREBRAL INJURY COMPLICATED WITH MENTAL DISORDER |
| 投稿时间：2017-02-17 修订日期：2017-04-22 |
| DOI：10.3969/j.issn.1674-8085.2017.04.019 |
| 中文关键词: 颅脑损伤 精神障碍 护理干预 Meta分析 |
| 英文关键词: craniocerebral injury psychotic disorder nursing intervention meta analysis |
| 基金项目:井冈山大学人文社会科学科研项目（JR09044） |
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| 摘要点击次数: 1876 |
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| 中文摘要: |
| 目的 本研究采用Meta分析的方法，对护理干预在重型颅脑损伤伴发精神障碍患者的治疗效果进行综合评价，为颅脑损伤并发精神障碍患者的治疗和护理提供参考依据。方法 采用RevMan 5.3统计软件进行Meta分析。计数资料采用相对危险度（RR）为疗效分析统计量；计量资料采用加权均数差（WMD）或标准化均数差（SMD），各效应量均以95% CI表示。结果 实施护理干预后治疗效果，Meta分析结果显示，护理干预组的治疗效果明显好于对照组，差异有统计学意义[OR=0.23，95% CI（0.11，0.47），P<0.0001]。护理干预组的MMSE评分明显高于对照组，差异有统计学意义[MD=-1.74，95% CI（-2.47，-1.01），P<0.0001]。护理满意度，Meta分析结果显示，护理干预组的治疗效果明显好于对照组，差异有统计学意义[OR=0.25，95% CI（0.10，0.66），P<0.0001]。结论 本系统评价结果表明，经过系统的、有针对性的护理干预后，患者的治疗效果有明显好转，MMSE评分有明显提高，患者或家属对护理工作人员的满意度也有明显提升。 |
| 英文摘要: |
| Objective: This study use the method of meta analysis system, the nursing intervention in the treatment of severe head injury patients with comorbid mental disorders effect comprehensive evaluation, for the treatment of patients with craniocerebral injury complicated by mental disorders and nursing provide a reference basis. Methods: Using Revman 5.3 statistical software for meta analysis. Count date using relative risk(RR) for curative effect analysis of statistics; Measurement data using the weighted mean differences or standardized mean differences (WMD) (SMD), the effect was expressed in 95% CI. Results: Meta analysis results of the treatment effect after the implementation of nursing intervention showed that the treatment effect of nursing intervention group was obviously better than the control group. The difference was statistically significant (OR=0.23,95% CI(20.11,0.11), P<0.0001). The MMSE score of nursing intervention group was obviously higher than that of control group, the difference was statistically significant (MD=1.74, 95% CI (2.74, 1.01), P<0.0001). Meta analysis results of nursing satisfaction showed that the treatment effect of nursing intervention group was obviously better than the control group, the difference was statistically significant (OR=0.25, 95% CI (0.10, 0.10), P<0.0001). Conclusion: The evaluation results showed that the treatment effect of patients was distinctly improved after systematical targeted nursing intervention, MMSE score was obviously advanced, the patient or family satisfaction of nursing staff also was obviously improved. |
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