Efficacy of applying clinical pathway in health education for patients with coronary heart disease after percutaneous coronary intervention:a Meta-analysis

Xiao Ling; Wang Pan; Xiao Mingzhao; Zhao Qinghua

doi:10.13406/j.cnki.cyxb.001107

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Efficacy of applying clinical pathway in health education for patients with coronary heart disease after percutaneous coronary intervention:a Meta-analysis

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- Efficacy of applying clinical pathway in health education for patients with coronary heart disease after percutaneous coronary intervention:a Meta-analysis
- Journal of Chongqing Medical University Vol. 41, Issue 12, Pages: 1245-1249(2016)
- 作者机构：
  
  1. 重庆医科大学附属第一医院护理部
  2. 重庆医科大学附属第一医院泌尿外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001107
  CLC： R473.5
- Published：2016，
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[1]肖玲,王攀,肖明朝,赵庆华.临床路径在冠脉介入治疗患者健康教育中应用效果的Meta分析[J].重庆医科大学学报,2016,41(12):1245-1249.

Xiao Ling, Wang Pan, Xiao Mingzhao, et al. Efficacy of applying clinical pathway in health education for patients with coronary heart disease after percutaneous coronary intervention:a Meta-analysis. [J]. Journal of Chongqing Medical University 41(12):1245-1249(2016)
[1]肖玲,王攀,肖明朝,赵庆华.临床路径在冠脉介入治疗患者健康教育中应用效果的Meta分析[J].重庆医科大学学报,2016,41(12):1245-1249. DOI： 10.13406/j.cnki.cyxb.001107.

Xiao Ling, Wang Pan, Xiao Mingzhao, et al. Efficacy of applying clinical pathway in health education for patients with coronary heart disease after percutaneous coronary intervention:a Meta-analysis. [J]. Journal of Chongqing Medical University 41(12):1245-1249(2016) DOI： 10.13406/j.cnki.cyxb.001107.

摘要

目的:通过Meta分析

评价临床路径在冠脉介入治疗患者健康教育中的应用效果。方法:通过万方（1990年至2016年2月1日）、中国生物医学文献数据库（1978年至2016年2月1日）、中国知网（1978年至2016年2月1日）、Pub Med（1966年至2016年2月1日）数据库

检索临床路径在冠脉介入治疗患者健康教育应用中的随机对照实验。采用Rev Man5.3软件对所提取的资料进行统计分析。结果:最终纳入文献10篇

共1 565例研究对象（其中健康教育路径组790例

对照组775例）。Meta分析结果显示

与传统健康教育相比

临床路径式健康教育能提高冠脉介入治疗患者疾病知识的掌握率（RR=1.26

95%CI=1.19

.33

P=0.000）

减低尿潴留的发生率（RR=0.31

95%CI=0.18

.52

P=0.000）

提升患者护理服务满意度（RR=1.28

95%CI=1.19

.38

P=0.000）。结论:临床路径应用于冠脉介入治疗患者健康教育的效果优于传统健康教育法

建议推广使用。

Abstract

Objective:To evaluate the efficacy of applying clinical pathway in health education of patients with percutaneous coronary intervention by Meta-analysis. Methods:Randomized controlled trials(RCT) about clinical pathway in patients with percutaneous coronary intervention were searched from Wanfang(1990 to February 1

2016)

CBM(1978 to February 1

2016)

CNKI(1978 to February 1

2016)and Pub Med(1966 to February 1

2016);all data were analyzed by Rev Man5.3 software. Results:A total of 10 studies including 1 565 patients were finally analyzed in this Meta-analysis. Meta-analysis showed that the clinical pathway of health education was superior to the traditional health educationhad in improving patients’ master of disease knowledge(RR=1.26

95%CI=1.19 to 1.33

P=0.000)

reducing the incidence of urinary retention(RR=0.31

95%CI=0.18 to 0.52

P=0.000)and improving patient satisfaction degree for nursing service(RR=1.28

95%CI=1.19 to 1.38

P=0.000). Conclusion:Clinical pathway of health education is superiorto the traditional health education

therefore is recommended for clinical use.

关键词

健康教育临床路径冠脉介入治疗Meta分析

Keywords

patient educationclinical pathwaypercutaneous coronary interventionMeta-analysis

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