[1]马佳楚,商临萍,李淑花,等.慢性阻塞性肺疾病患者住院时间延长危险因素的Meta分析[J].解放军护理杂志,2022,39(02):60-63+79.[doi:10.3969/j.issn.1008-9993.2022.02.015]
　MA Jiachu,SHANG Linping,LI Shuhua,et al.Risk Factors of Prolonged Hospitalization for Patients with Chronic Obstructive Pulmonary Disease:A Meta Analysis[J].Nursing Journal Of Chinese People’s Laberation Army,2022,39(02):60-63+79.[doi:10.3969/j.issn.1008-9993.2022.02.015]
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慢性阻塞性肺疾病患者住院时间延长危险因素的Meta分析
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年02期
页码:
60-63+79
栏目:
循证护理
出版日期:
2022-02-15

文章信息/Info

Title:
Risk Factors of Prolonged Hospitalization for Patients with Chronic Obstructive Pulmonary Disease:A Meta Analysis
文章编号:
1008-9993(2022)02-0060-05
作者:
马佳楚1; 商临萍2; 李淑花3; 袁丽荣3
(1.山西医科大学 护理学院,山西 太原 030001; 2山西医科大学第一医院 感染管理科,山西 太原030001; 3.山西医科大学第一医院,呼吸与危重症医学科)
Author(s):
MA Jiachu1; SHANG Linping2; LI Shuhua3; YUAN Lirong3
(1.College of Nursing, Shanxi Medical University, Taiyuan 030001, Shanxi Province,China; 2.Infection Management Department, First Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province,China; 3.Respiratory and Critical Care Unit, First Hospital of Shanxi Medical University)
关键词:
慢性阻塞性肺疾病;  住院时间;  延长;  危险因素;  Meta分析
Keywords:
chronic obstructive pulmonary disease;  length of stay;  prolong;  risk factors;  Meta analysis
分类号:
R473.56
DOI:
10.3969/j.issn.1008-9993.2022.02.015
文献标志码:
A
摘要:
目的 明确慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者住院时间延长的危险因素,为临床患者的早期干预提供依据。方法 系统检索中国知网、万方、维普、Pubmed、Web of Science 及Cochrane library数据库,收集COPD患者住院时间延长危险因素的队列研究、病例对照研究,检索时限为建库至2020年8月。运用RevMan 5.3软件进行Meta分析。结果 纳入12项研究,样本量为23 017例。COPD患者住院时间延长的危险因素有9项,即白蛋白水平异常(OR=-2.71)、血红蛋白水平异常(OR=-1.23)、入院FEVI%值异常(OR=-5.83)、GLOD4级(OR=1.57)、合并慢性肾脏疾病(OR=2)、有ICU入住史(OR=7.8)、住院期间使用无创呼吸机(OR=1.94)、住院期间使用有创呼吸机(OR=4.42)及需要进行家庭氧疗(OR=2.36)等。结论 临床医护人员应针对危险人群,加强对其评估和管理,从而尽可能地减少COPD患者住院时间延长的发生,改善患者临床预后。
Abstract:
Objective To identify the risk factors for prolonged hospitalization for the patients with Chronic Obstructive Pulmonary Disease(COPD),and to provide the basis for the clinical intervention in the early stage.Methods A systematical search in CNKI, Wanfang, VIP, PubMed, Web of Science and Cochrane Library was conducted.cohort studies and case-control studies on risk factors for prolonged hospitalization of COPD patients published from inception to August 2020 were retrieved.RevMan 5.3 software was used for Meta analysis.Results A total of 12 articles were included,with a sample size of 23017 cases, including 9 risk factors: abnormal albumin level(OR=-2.71), abnormal hemoglobin level(OR=-1.23), abnormal FEVI% value on admission(OR=-5.83),GLOD4 level(OR=1.57), complicated chronic kidney disease(OR=2), ICU admission history(OR=7.8), usage of non-invasive ventilator during hospitalization(OR=1.94), invasive ventilator during hospitalization(OR=4.42)and home oxygen therapy(OR=2.36).Conclusions Clinical medical staff should strengthen the assessment and management of risk groups, so as to reduce the occurrence of prolonged hospitalization in COPD patients as much as possible and improve the clinical outcome of patients.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-02-22 【 修回日期 】 2021-12-30
【 作者简介 】 马佳楚,硕士在读,护士,从事慢性病护理
【 通信作者 】 商临萍,电话: 0351-4639046
更新日期/Last Update: 2022-02-15