Abstract
Objective To evaluate the therapeutic effect of clinical nursing pathway( CNP) on primary liver cancer interventional therapy by Meta -analysis. Methods This study retrieved the main domestic databases( CNKI,WANFANG DATA,VIP,CBM) for relevant literatures from January 1990 to October 2013,evaluated the quality of enrolled studies and carried out a Meta -analysis on them. Results A total of 11 literatures were enrolled,including 904 subjects(449 in test groups,455 in control groups). The quality of 1 literature was B-class,those of the others were all C-class. By Meta-anal-ysis,the incidence of urinary retention was lower in test groups than in control groups〔RR=0. 29,95%CI(0. 16,0. 52),P<0. 000 1〕,that of nausea and vomiting lower〔RR =0. 26,95%CI(0. 18,0. 36),P <0. 000 01〕,that of ache in the waist and back lower〔RR=0. 43,95%CI(0. 32,0. 57),P<0. 000 01〕,that of negative emotion lower〔RR=0. 42,95%CI(0. 30,0. 58),P<0. 000 01〕,that of sleeplessness lower〔RR=0. 38,95%CI(0. 28,0. 52),P<0. 000 01〕. There was no significant difference in incidence of bleeding/hematoma on puncture site between 2 groups〔RR=0. 50,95%CI(0. 17, 1. 43),P=0. 20〕. The time in bed was shorter in test groups than in control groups〔WMD = -6. 74,95%CI( -7. 95,-5. 53),P<0. 000 01〕,the hospital stay shorter〔WMD= -3. 41,95%CI( -3. 97,-2. 58),P<0. 000 01〕,the hos-pital costs lower〔WMD= -2 197. 41,95%CI( -2 894. 55,-1 500. 27),P<0. 000 01〕,the scores of health knowledge higher〔WMD=7. 00,95%CI(4. 63,9. 38),P <0. 000 01〕,the nursing satisfaction rate higher〔RR =1. 18,95%CI (1. 03,1. 34),P=0. 02〕. Conclusion The overall comfort level of CNP is superior to that of traditional nursing method with-out any increase of complications. But because of the low quality of the enrolled literatures,more researches needed to validate further the effects of CNP on liver cancer patients.关键词
临床路径/护理/肝肿瘤/介入治疗/Meta 分析Key words
Clinical pathways/Nursing care/Liver neoplasms/Interventional treatment/Meta-analysis分类
医药卫生
