质量护理对烧伤患者伤口疼痛和焦虑的影响：荟萃分析。

Effect of quality nursing care on wound pain and anxiety in burn patients: A meta-analysis.

机构信息

Department of Burn, The Southwest Hospital of Army Medical University, Chongqing, China.

出版信息

Int Wound J. 2024 Apr;21(4):e14798. doi: 10.1111/iwj.14798.

DOI:10.1111/iwj.14798

PMID:38572761

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10993347/

Abstract

To systematically evaluate the effects of quality nursing care on wound pain and anxiety in burn patients. Computerised searches of PubMed, Google Scholar, Cochrane Library, Embase, Wanfang, China Biomedical Literature Database and China National Knowledge Infrastructure databases randomised controlled trials (RCTs) on the application of quality nursing care to burn patients were carried out from database inception to October 2023. Literature was screened and evaluated by two researchers based on inclusion and exclusion criteria, and data were extracted from the final included literature. Stata 17.0 software was employed for data analysis. Overall, 15 RCTs and 1115 burn patients were included, including 563 and 552 in the quality care and routine care groups. It was found that, compared with routine care, burn patients who implemented quality care had significantly less wound pain (SMD: -1.79, 95% CI: -2.22 to -1.36, p < 0.001), anxiety (SMD: -2.71. 95% CI: -3.49 to -1.92, p < 0.001) and depression (SMD: -1.74, 95% CI: -2.35 to -1.14, p < 0.001) levels were significantly reduced post-trauma.

摘要

为了系统地评估优质护理对烧伤患者伤口疼痛和焦虑的影响。我们对 PubMed、Google Scholar、Cochrane Library、Embase、万方、中国生物医学文献数据库和中国知网数据库进行了计算机检索，检索了自数据库建立以来至 2023 年 10 月应用优质护理对烧伤患者进行护理的随机对照试验（RCT）。两名研究人员根据纳入和排除标准对文献进行筛选和评估，并从最终纳入的文献中提取数据。采用 Stata 17.0 软件进行数据分析。总体而言，纳入了 15 项 RCT 和 1115 名烧伤患者，其中优质护理组和常规护理组分别有 563 名和 552 名患者。结果发现，与常规护理相比，实施优质护理的烧伤患者伤口疼痛（SMD：-1.79，95%CI：-2.22 至-1.36，p<0.001）、焦虑（SMD：-2.71，95%CI：-3.49 至-1.92，p<0.001）和抑郁（SMD：-1.74，95%CI：-2.35 至-1.14，p<0.001）水平显著降低。