护理学报 ›› 2022, Vol. 29 ›› Issue (4): 21-26.doi: 10.16460/j.issn1008-9969.2022.04.021
余小燕, 刘于, 黄毅
YU Xiao-yan, LIU Yu, HUANG Yi
摘要: 目的 通过Meta分析评价小丑照护缓解患儿焦虑、疼痛程度的影响。方法 计算机检索PubMed、Cochrane Library、EMbase、CINAHL、Web of Science、知网、维普和万方数据库,获取小丑照护对患儿焦虑、疼痛程度效果的随机对照研究和类实验性研究,检索时限为建库至2021年2月。2名研究者依据纳排标准分别进行文献筛选及质量评价,采用RevMan 5.3软件进行Meta分析。结果 共纳入15项研究。Meta分析结果显示,与对照组比较,小丑照护能有效地缓解患儿的焦虑情绪[SMD=-0.91,95%CI(-1.13,-0.68),P<0.01],减轻患儿的疼痛程度[SMD=-0.30,95%CI(-0.47,-0.13),P<0.01],以及改善父母的状态焦虑情绪[MD=-3.61,95%CI(-5.78,-1.43),P<0.01],但对缓解父母的特质焦虑情绪效果不明显(P=0.45)。结论 小丑照护可以有效地缓解患儿在手术或其他治疗操作过程中的焦虑、疼痛程度,对缓解父母焦虑情绪效果尚缺乏证据支持,需要高质量的研究进行探讨。
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