家庭监控在左心发育不全及功能性单心室患儿分期手术间期应用效果的系统评价

家庭监控在左心发育不全及功能性单心室患儿分期手术间期应用效果的系统评价

张慧文顾莺黄苗

复旦大学护理学院（张慧文，黄苗）；复旦大学附属儿科医院护理部 ( 顾莺)

出版日期:2016-09-25 发布日期:2016-09-25
基金资助:
复旦大学护理科研基金重点项目（FNF201202）；2013 年国家临床重点专科建设项目([2013]544 号)

A systematic review on the role of home monitoring in interstage management of infants with Hypoplastic Left Heart Syndrome or single ventricle defect

Online:2016-09-25 Published:2016-09-25

摘要/Abstract

摘要： 目的：系统评价家庭监控在左心发育不全及功能性单心室患儿分期手术间期应用效果。方法：计算机检索Cochrane Library、JBI 循证护理中心图书馆、EMbase、Pubmed、Medline、BIOSIS Previews、中国生物医学文献数据库（CBM）、中国知网（CNKI）数据库和万方数据库。纳入中英文发表的关于家庭监控在左心发育不全及功能性单心室患儿分期手术间期应用的随机对照试验或类实验性研究。参考澳大利亚循证卫生保健中心制定的文献质量评价标准评价文献质量。结果：共纳入9 项类实验性研究，共1257 例患儿。干预组和对照组患儿分期手术治疗间期体质量增长的差值为1.64g/ 天（95%CI ：-1.31 ～ 4.58）以及存活率比值比为3.24（95%CI ：1.64 ～ 6.42）。结论：家庭监控可提高左心发育不全及功能性单心室患儿分期手术间期的存活率，但对患儿体质量的影响不确定。

Abstract: Objective: To systematically evaluate the role of home monitoring in interstage management of infants with Hypoplastic Left Heart Syndrome or single ventricle defect. Method: Computer searched among following databases:Cochrane Library, JBI Library and the databases of Medline, EMbase, Pubmed, BIOSIS Previews, CBM, CNKI or Wanfang, and the publication language was limited to English and Chinese. Randomized controlled trial or quasiexperimental studies were used to analysis the articles. The quality of included studies was evaluated according to JBI criteria. Results: Nine quasi-experimental studies involving 1257 patients were included. The difference of weight gain during the period of palliative care was 1.64 g/day (95%CI: -1.31~4.58) between intervention group and control group and the survival odds ratio was 3.24 (95%CI: 1.64~6.42). Conclusion: Home monitoring can lead to a decrease in interstage mortality, but the impact on weight gain was not sure.

张慧文顾莺黄苗. 家庭监控在左心发育不全及功能性单心室患儿分期手术间期应用效果的系统评价[J]. , 2016, 16(9): 1196-1201.