综合护理干预对糖尿病胰岛素泵强化治疗患者血糖影响的系统评价.docVIP

精品论文 参考文献 综合护理干预对糖尿病胰岛素泵强化治疗患者血糖影响的系统评价 （济南市槐荫人民医院 山东 济南 250021） 【摘 要】目的：评价综合护理干预对糖尿病胰岛素泵强化治疗患者血糖的影响。方法：全面检索数据库PubMed、知网、万方、维普及相关研究的参考文献，纳入综合护理干预对糖尿病胰岛素泵强化治疗患者血糖影响的所有随机对照研究（RCT），对其进行质量评价，使用Revman5.2统计分析软件进行Meta分析。结果：共纳入17篇（RCT），其中高质量4篇，低质量13篇。根据评价所关注的5个结局指标，Meta分析结果显示，与常规护理相比，综合护理干预可改善患者空腹血糖［MD=-1.45，95%CI（-1.69，-1.20），Plt;0.00001]、餐后2h血糖［MD=-1.89，95%CI（-2.28，-1.50），Plt;0.00001]，缩短血糖达标时间［MD=-8.96，95%CI（-10.06，-7.85），Plt;0.00001]、减少胰岛素用量［MD=-2.99，95%CI（-3.27，-2.72），Plt;0.00001]及低血糖发生次数［MD=0.21，95%CI（0.11，0.41），Plt;0.00001]。结论：综合护理干预可有效控制胰岛素泵强化治疗糖尿病患者的血糖水平，可作为有效的辅助治疗手段。但纳入的17篇文献质量偏低，结论有待于高质量临床护理研究的进一步验证。 【关键词】综合护理干预；胰岛素泵强化治疗；血糖水平；系统评价 【中图分类号】R473.74 【文献标识码】A 【文章编号】1004-6194（2015）02-0473-02 Effect of comprehensive nursing intervention on blood glucose in patients with diabetes mellitus and insulin pump Wang Shumei Liu Xiaojing Zhao Jin Huaiyin peoples Hospital of Jinan City, 250021 【Abstract】Objective: To evaluate the effect of comprehensive nursing intervention on blood glucose in patients with diabetes mellitus and insulin pump therapy. Methods: a comprehensive search of PubMed database, CNKI, Wanfang, VIP and related research references, into the comprehensive nursing intervention on insulin pump in the treatment of patients with hypoglycemic effect of all randomized controlled study (RCT) and the for quality evaluation and use Revman5.2 statistical analysis software was used for meta analysis. Results: a total of 17 articles (RCT), including 4 high quality and low quality 13. According to the evaluation on the five outcome, meta analysis results show, compared with routine nursing and comprehensive nursing intervention can improve patients with impaired fasting glucose (MD=-1.45, 95% CI (1.69, -1.20), Plt;0.00001], after a meal 2H blood glucose [MD=-1.89, 95% CI (-2.28, 1.50) and P lt; 0.000 01], shorten the time of blood glucose [MD=-8.96, 95% CI (-10.06, -7.85), Plt;0.00001], reduce the dosage of insulin [MD=-2.99, 95% CI (-3.27, -2.72),