Huang Huanhuan, Yu Shanzhao, Zheng Jufang
Department of Intensive Care Unit, Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang 312000, China.
Evid Based Complement Alternat Med. 2022 Sep 13;2022:1144888. doi: 10.1155/2022/1144888. eCollection 2022.
To evaluate the prevention effect of the clinical nursing pathway (CNP) of catheter slippage with intensive care unit (ICU) patients.
Primary databases were electronically searched from the inception up to June 25, 2021. Randomized clinical trials of CNP versus routine nursing for prevention of catheter slippage with ICU patients were included. The risk of bias was assessed using the Cochrane risk of bias tool and the quality of included studies using the Jadad rating scale. A meta-analysis was conducted using the Cochrane collaboration's RevMan5.3 software.
Eight studies met the inclusion criteria. The findings of the meta-analysis revealed that the comparison of CNP and routine nursing was applied in ICU patients, the catheter slippage incidence rate odds ratio (OR) was 0.11, with 95% confidence interval (CI) (0.05, 0.24), and the difference was statistically significant ( < 0.00001). The catheter infection rate OR was 0.15, with 95% CI (0.06, 0.37), and the difference was statistically significant ( < 0.0001). The nursing satisfaction OR was 14.06, with 95% CI (5.71, 34.63), and the difference was statistically significant ( < 0.00001).
Compared with routine nursing, the application of CNP in ICU patients can effectively reduce the incidence of catheter slippage, reduce the infection rate of the catheter, and improve the nursing satisfaction.
评估临床护理路径（CNP）对重症监护病房（ICU）患者导管滑脱的预防效果。
从数据库建库至2021年6月25日进行电子检索。纳入CNP与常规护理预防ICU患者导管滑脱的随机临床试验。使用Cochrane偏倚风险工具评估偏倚风险，使用Jadad评分量表评估纳入研究的质量。使用Cochrane协作网的RevMan5.3软件进行荟萃分析。
八项研究符合纳入标准。荟萃分析结果显示，在ICU患者中应用CNP与常规护理进行比较，导管滑脱发生率的比值比（OR）为0.11，95%置信区间（CI）为（0.05，0.24），差异有统计学意义（<0.00001）。导管感染率OR为0.15，95%CI为（0.06，0.37），差异有统计学意义（<0.0001）。护理满意度OR为14.06，95%CI为（5.71，34.63），差异有统计学意义（<0.00001）。
与常规护理相比，在ICU患者中应用CNP可有效降低导管滑脱发生率，降低导管感染率，并提高护理满意度。
