非药物干预减轻ICU转出病人家属迁移应激的网状Meta分析OA北大核心CSTPCD
A network meta-analysis of the non-pharmacological interventions to reduce migration stress in family members of ICU patients transferred out
目的:采用贝叶斯网状Meta分析技术对非药物干预方式减轻ICU转出病人家属迁移应激水平的效果进行评价.方法:计算机系统检索中国知网(CNKI)、Web of Science(SCIE)、Cochrane Library、Embase等中英文数据库,搜集不同非药物干预方式对减轻ICU转出病人家属迁移应激的随机对照试验(RCT),检索时限均为建库至 2023 年 6月.使用Stata 15软件进行网状Meta分析.结果:共纳入 15项RCT,累计研究患者1 186例,涉及5种非药物干预方式.结果显示:英文FRSS评分方面,减轻照顾者迁移应激水平的干预措施效果排序为行为改变轮模式>ICU联络护士>迁移手册>综合护理>认知行为干预.汉化版FRSS评分方面,减轻照顾者迁移应激水平的干预措施效果排序为迁移手册>认知行为干预>结构化健康教育>综合护理.FCTI评分方面,减轻照顾者迁移应激水平的干预措施效果排序为行为改变轮模式>ICU联络护士>迁移手册>综合护理.STAI评分方面,减轻照顾者迁移应激水平的干预措施效果排序为ICU联络护士>迁移手册>结构化健康教育>综合护理.结论:与单纯综合护理相比,非药物干预方式联合综合护理对减轻照顾者迁移应激水平效果更佳.
Objective:Bayesian meta-analysis was used to evaluate the effect of non-drug intervention on alleviating the migra-tion stress level of family members of patients transferred out of ICU.Methods:Databases including CNKI,Web of Science(SCIE),Cochrane Library and Embase were searched by computer system to collect randomized controlled trials(RCTS)of dif-ferent non-drug interventions on alleviating migration stress of family members of ICU patients transferred from the database incep-tion until June 2023.A mesh meta-analysis was performed using Stata 15 software.Results:A total of 15 RCTS were included,and a total of 1 186 patients were studied,involving five non-drug interventions.The results showed that in terms of English FRSS score,the effect of intervention measures to reduce the level of caregiver migration stress was ranked as behavior change round model>ICU contact nurse>Migration manual>Comprehensive nursing>cognitive behavioral intervention.In the Chi-nese version of FRSS score,the effect of intervention measures to reduce the level of caregiver migration stress was ranked as mi-gration manual>cognitive behavioral intervention>Structured health education>comprehensive nursing.In terms of FCTI score,the effect of interventions to reduce the level of caregiver migration stress was ranked as behavior change round mode>ICU contact nurse>Migration manual>Comprehensive nursing.In terms of STAI score,the effect of interventions to reduce the level of caregiver migration stress was ranked as ICU contact nurse>Migration manual>Structured health education>Comprehensive nursing.Conclusion:Compared with comprehensive nursing alone,non-drug intervention combined with compre-hensive nursing has a better effect on alleviating the migration stress level of caregivers.
朱雅迪;周明;张华
海南医学院国际护理学院,海南 海口 571199海南医学院国际护理学院,海南 海口 571199||海南医学院急救与创伤研究教育部重点实验室,海南 海口 571199海南医学院国际护理学院,海南 海口 571199||海南医学院急救与创伤研究教育部重点实验室,海南 海口 571199||海南省运动与健康促进哲学社会科学重点实验室,海南 海口 571199
临床医学
非药物干预ICU家属迁移应急网状Meta分析
Non-drug interventionICU family membersRelocation stressNetwork meta-analysis
《海南医学院学报》 2024 (019)
1497-1506 / 10
Hainan Provincial Natural Science Foundation Project(822MS071);Innovation Research Project for Graduate Students at Hainan Medical University(HYYB2022A27);Hainan Medical University Campus Teaching Achievement Award Cultivation Project(HYjcpx202202) 海南省自然科学基金项目(822MS071);海南医学院校级研究生创新科研课题(HYYB2022A27);海南医学院校级教学成果奖培育项目(HYjcpx202202)
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