健康教育路径对住院糖尿病患者疗效影响的Meta分析.docVIP

GIP Chinese General Practice 2011年2月第14卷第2A期 ·431 · · 健 康 教 育 研 究 · 健康教育路径对住院糖尿病患者疗效影响的 Meta分析 刘家红，郑显兰，郭蓉，魏晓琼，杨青 【摘要】 目的 采用Meta 分析探讨健康教育路径对住院糖尿病患者疗效的影响。方法 检索国内主要数据库， 按一定标准筛选文献并进行质量评价。采用RevMan 4.2软件对纳入文献进行Meta 分析。结果 共纳入21篇文献， Meta 分析结果显示，健康教育路径组与传统教育组在空腹血糖 [WMD=-0.91,95% CI(-1.04,-0.77),P 0.00001]、餐后2h 血糖 [WMD=-2.43,95%CI(-2.96,-1.89),P0.00001]、 病人满意度 [RR=1.24,95% CI(1.16,1.32),P0.00001]、 知识掌握度 [RR=1.39,95%CI(1.24,1.56),P0.00001]、 住院天数[ WMD =-7.46,95%CI(-8.11,-6.81),P0.00001]、 住院费用[ WMD=-2390.03,95% CI(-3479.54, - 1300.52),P0.0001] 方面差异均有统计学意义。 结论 健康教育路径对住院糖尿病患者的疗效优于传统的健康 教育。由于纳入分析文献的研究质量较低，尚需要高质量的研究来进一步验证健康教育路径对糖尿病患者疗效的影响。 【关键词】 健康教育路径；临床路径；糖尿病； Meta分析 【中图分类号】 R587.1 【文献标识码】 A 【文章编号】1007-9572(2011)02-0431-04 Effect of Health Education Pathways on Hospitalized Diabetics:A Meta -analysis LIU Jia -hong,ZHENG Xian -lan, GUO Rong,et al. Childrens Haspial of Chongging Medical Universiy,Chongging 400014,China 【Abstract] Objective To evaluate the therapeutic effect of health education pathway on diabetic patients hospitalized by using the Meta - analysis. Methods The domestic main databases were searched, the quality of included studies which screened by certain standards was evaluated. The Review Manager 4.2 software was taken for analysis. Results Totally 21 stud- ies were included. The Meta- analysis showed there were significant difference between the health education pathway group and the traditional health education group in fasting blood glucose(FBG)[WMD=-0.91,95%CI(- 1.04,-0.77),P 0.00001], 2-h postprandial blood glucose(2-PBG)[WMD=-2.43,95%CI(-2.96,- 1.89),P0.00001],rate of patients satisfaction [RR=1.24,95%CI(1. 16,1.32),P0.00001],rate of mastering knowledge of diabetes mellitus [RR=1.39,95%CI(1.24,1.56),P0.00001],hospitalization days