Systematic review of effectiveness of terminal care for elderly patients with tumor in China
10.3760/cma.j.issn.1672-7088.2015.26.003
- VernacularTitle:中国终末期护理对老年肿瘤患者护理效果的系统评价
- Author:
Li MA
;
Yan WANG
;
Wenjing ZHANG
;
Jin DU
- Publication Type:Journal Article
- Keywords:
Terminal care;
Elderly patients with tumor;
Systematic review;
Meta-analysis
- From:
Chinese Journal of Practical Nursing
2015;(26):1957-1962
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematicly evaluate the effectiveness of terminal care for the elderly patients with tumor in China. Methods Chinese databases including China National Knowledge Internet (CNKI),VIP database,Wanfang Data,China Biology Medicine (CBM) were searched to collect the randomized control trials (RCTs) from inception to November 2014. According to the inclusion and exclusion criteria, the literatures were screened, datas were extracted, and methodological qualities were assessed, then a Meta-analysis was performed by using RevMan software, version 5.3. Results 8 RCTs involved 557 patients were included. The results of this Meta-analysis showed that the elderly tumor patients′quality of life in terminal care patients were superior to that in routine care patients with statistically significant difference [ standardized mean difference was 4.78, 95%confidence interval (95%CI) 2.06-7.50, P<0.01). The satisfaction of patients and their family members in terminal care patients were superior to that in routine care patients and there were statistically significant difference (relative risk was 1.55, 95%CI 1.20-2.00, P<0.01). Conclusions For elderly tumor patients, terminal care can improve their quality of life, and improve the satisfaction of patients and their families.