[1]刘阳,成琴琴,龚有文,等.终末期癌症患者谵妄危险因素的Meta分析[J].军事护理,2023,40(06):101-104.[doi:10.3969/j.issn.2097-1826.2023.06.024]
 LIU Yang,CHENG Qinqin,GONG Youwen,et al.Risk Factors for Delirium in Terminal Cancer Patients:A Meta-Analysis[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(06):101-104.[doi:10.3969/j.issn.2097-1826.2023.06.024]
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终末期癌症患者谵妄危险因素的Meta分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年06期
页码:
101-104
栏目:
循证护理
出版日期:
2023-06-15

文章信息/Info

Title:
Risk Factors for Delirium in Terminal Cancer Patients:A Meta-Analysis
文章编号:
2097-1826(2023)06-00101-04
作者:
刘阳12成琴琴1龚有文2杨索1谌永毅1
(1.湖南省肿瘤医院 护理部,湖南 长沙 410006; 2.南华大学 护理学院,湖南 衡阳 421001)
Author(s):
LIU Yang12 CHENG Qinqin1 GONG Youwen2 YANG Suo1 CHEN Yongyi1
(1.Department of Nursing,Hunan Cancer Hospital,Changsha 410006,Hunan Province,China; 2.School of Nursing,University of South China,Hengyang 421001,Hunan Province,China)
关键词:
终末期 癌症 谵妄 危险因素 Meta分析
Keywords:
terminal stage cancer delirium risk factor Meta-analysis
分类号:
R473; R47-05
DOI:
10.3969/j.issn.2097-1826.2023.06.024
文献标志码:
A
摘要:
目的 探讨终末期癌症患者发生谵妄的危险因素,为临床医护人员识别高危人群,提前做出干预措施提供参考。方法 计算机检索Embase、CINAHL、PubMed、中国知网、中国生物医学文献数据库、维普数据库及万方数据库等,搜集与终末期癌症患者发生谵妄的相关文献,检索时间均从建库起至2022年5月8日,使用Revman 5.4.1软件进行统计分析。结果 共纳入6篇文献,性别[OR=2.39,95% CI(1.32~4.33),P=0.004]、感染[OR=3.72,95%CI(2.11~6.53),P<0.001]、睡眠障碍[OR=4.07,95% CI(3.11~5.33),P<0.001]、阿片类药物[OR=1.78,95% CI(1.30~2.43),P=0.0004]是终末期癌症患者发生谵妄的危险因素,抗生素[OR=0.38,95% CI(0.20~0.71),P=0.003]是保护因素。结论 临床医护人员可早期识别终末期癌症患者是否存在谵妄发生的危险因素,提前采取干预措施,以降低谵妄的发生率,提高其终末期生活质量。
Abstract:
Objective To identify the risk factors for delirium in terminal cancer patients,and to provide a reference for clinical medical staff to identify high-risk groups and make intervention measures in advance.Methods Embase,CINAHL,PubMed,CNKI,China Biomedical Literature Database,VIP database and Wanfang Database were searched by computer to collect literature related to delirium in terminal cancer patients.The search time was from the inceptions to May 8,2022.Statistical analysis was performed using Revman 5.4.1 software.Results A total of six articles were included,with gender[OR=2.39,95%CI(1.32-4.33),P=0.004],infection[OR=3.72,95%CI(2.11-6.53),P<0.001],sleep disorders[OR=4.07,95%CI(3.11-5.33),P<0.001],opioids[OR=1.78,95%CI(1.30-2.43),P=0.0004] as the risk factors for delirium in terminal cancer patients,while with antibiotics[OR=0.38,95%CI(0.20-0.71),P=0.003] as the protective factor.Conclusions Clinical medical staff can identify whether there are risk factors for delirium in terminal cancer patients, take intervention measures in advance to reduce the incidence of delirium,and improve their quality of life.

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备注/Memo

备注/Memo:
【 收稿日期 】2022-10-10【 修回日期 】2023-04-14
【 基金项目 】湖南省自然科学基金资助项目(2021JJ40319)
【 作者简介 】刘阳,硕士在读,电话:0731-89762510
【 通信作者 】谌永毅,电话:0731-89762510
更新日期/Last Update: 2023-06-15