Effect of the cluster nursing interventions to ICU mechanical ventilation patients: a Meta analysis in China
10.3760/cma.j.issn.1672-7088.2018.20.018
- VernacularTitle: 我国ICU机械通气患者集束化护理干预效果的Meta分析
- Author:
Hua LIU
;
Jiping TAN
1
;
Wei LEI
;
Ruofen YAN
;
Decai TAN
Author Information
1. The Central Hospital of Enshi Autonomous Prefecture, Nursing department, Enshi 445000, Hubei Province, China.
- Publication Type:Review
- Keywords:
Intensive care unit;
Mechanical ventilate;
Cluster nursing interventions;
Meta-analysis
- From:
Chinese Journal of Practical Nursing
2018;34(20):1596-1601
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of ICU mechanical ventilation patients with cluster nursing and conventional nursing, and provide the basis for the clinical work.
Methods:Randomized controlled trials (RCTs) related to the ICU mechanical ventilation patients with cluster nursing and conventional nursing were collected through the databases such as CBM、CNKI, Wanfang Data, VIP Data. Meta-analyses were conducted for the included studies by the RevMan 5.3 software.
Results:A total of 12 qualified research literatures were included, with a total sample size of 1478 cases, the test group 742 cases, the control group 736 cases. Meta-analysis showed that cluster nursing intervention can reduce the time of ICU patients with mechanical ventilation (Z=14.00, P<0.01), reduce the time at ICU (Z=41.89, P<0.01), reduce the incidence of ventilator associated pneumonia (Z=8.33, P<0.01) and reduce the patient mortality (Z=2.79, P<0.01).
Conclusions:The results of this meta-analysis showed that cluster nursing measures were statistically significant in reducing mechanical ventilation complications in ICU patients compared with conventional nursing measures. However, in view of the methodological quality and limitations of this study included in the literature. Suggestions for future research to carry out large sample, high quality, multicenter randomized controlled study, make the ICU mechanical ventilation in patients with cluster nursing measures to constantly update and perfect, as well as to seek more evidence-based nursing support evidence.
