基于Roy适应模式的护理干预对ICU机械通气患者应用效果的系统评价

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Abstract Objective To systematically reviewed the relevant literature on the application of Roy-based adaptive nursing intervention in patients with mechanical ventilation in intensive care unit (ICU) to confirm its application effect and provide reference for clinical practice. Methods Computer searched for PubMed, Cochrane Library, Embase, Ebsco, Elsevier, CNKI, Wanfang Data, VIP and CBM randomized controlled trials (RCTs) and semi-randomized controlled trials (CCTs), the retrieval time was from the establishment to May 2020. The intervention group received nursing intervention based on Roy adaptation model, and the control group received routine nursing intervention. The off-line success rate, ventilator days, hospitalization days and hospitalization costs were observed after intervention. After literature screening, data extraction and quality assessment by two researchers, meta-analysis was performed using RevMan 5.3 software. Results In the end, six studies were included with a total of 660 patients, and the quality evaluation results were all grade B. Meta-analysis results showed that the intervention group could improve the success rate of patients of-fline compared with the control group (RR = 1.27, 95%CI [1.16, 1.38], P ＜ 0.000 01); decrease ventilator days (MD = -3.88, 95%CI [-4.15, -3.61], P ＜ 0.000 01); reduce the patient length of hospital stay (MD = -3.13, 95%CI [-3.74, -2.52], P ＜ 0.000 01); reduce hospital costs (MD = -0.04, 95%CI[-0.08, -0.02], P ＜ 0.000 01). Conclusion The effect of Roy-based adaptive nursing intervention on ICU patients with mechanical ventilation is better than conventional nursing. However, the quality of the included literatures is not high, and the sample size is different from the standard of clinical intervention measures. Therefore, large-sample, multi-center standardized clinical studies need to be carried out for further confirmation.

Key words： Intensive care unit Mechanical ventilation Roy adaptation model Systematic review

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	KANG Yannan WANG Ruirui YANG Ting ZHANG Chunmei

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KANG Yannan WANG Ruirui YANG Ting ZHANG Chunmei. Systematic evaluation of the application effect of nursing intervention based on Roy adaptation model on patients with mechanical ventilation in ICU[J]. 中国医药导报, 2021, 18(4): 163-167.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I4/163

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