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重症监护病房日记对重症监护病房幸存者及其家属生活质量的影响:系统评价和荟萃分析。

Effect of intensive care unit diary on quality of life of intensive care unit survivors and their relatives: A systematic review and meta-analysis.

机构信息

School of Nursing, Yanbian University, Yanji, China.

Yanbian Hospital, Yanji, China.

出版信息

Nurs Open. 2023 Aug;10(8):4985-4994. doi: 10.1002/nop2.1819. Epub 2023 May 31.

Abstract

AIM

To evaluate the current literature on the effect of ICU diaries on the quality of life of ICU survivors and their relatives.

DESIGN

Systematic review and meta-analysis.

METHODS

We searched the online databases Web of Science, PubMed, Embase, The Cochrane Library, CNKI and WanFang from inception to April 2021. Cochrane Risk of Bias Assessment Tool and Newcastle-Ottawa Scale (NOS) were used to assess the methodological quality.

RESULTS

Seven studies were identified. ICU diaries improved the QoL of ICU survivors (SMD 0.79, 95% CI 0.24-1.34), and a small study described no benefit of diaries in improving the QoL of relatives.

CONCLUSION

This meta-analysis revealed the use of ICU diaries to improve the QoL in survivors, but the ICU diaries do not have a beneficial effect on the QoL in relatives. The evidence summarized in our study is limited and biased, and more research should be carried out to verify it.

摘要

目的

评估 ICU 日记对 ICU 幸存者及其家属生活质量影响的现有文献。

设计

系统评价和荟萃分析。

方法

我们从建库至 2021 年 4 月检索了 Web of Science、PubMed、Embase、The Cochrane Library、中国知网(CNKI)和万方数据库,使用 Cochrane 偏倚风险评估工具和 Newcastle-Ottawa 量表(NOS)评估方法学质量。

结果

共纳入 7 项研究。ICU 日记可改善 ICU 幸存者的生活质量(SMD 0.79,95%CI 0.24-1.34),有一项小样本研究描述了日记对改善家属生活质量没有益处。

结论

本荟萃分析显示使用 ICU 日记可改善幸存者的生活质量,但对改善家属生活质量无有益作用。我们研究中总结的证据有限且存在偏倚,需要开展更多研究加以验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f3/10333839/7dc33b741728/NOP2-10-4985-g002.jpg

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