职业与健康 ›› 2021, Vol. 37 ›› Issue (1): 97-102.DOI: 10.13329/j.cnki.zyyjk.20201020.001

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不同干预措施对护理人员睡眠质量影响的网状 meta 分析

  

  1. 1.海南医学院国际护理学院,海南 海口 571199;2.海南医学院第二附属医院护理部,海南 海口 570100
  • 收稿日期:2020-07-17 接受日期:2020-09-21 出版日期:2021-01-01 发布日期:2021-03-03
  • 通讯作者: 李珑,主任护师,E-mail:hklilong@163.com
  • 作者简介:刘君儿,女,在读硕士研究生,研究方向为护理管理。
  • 基金资助:
    海南省科技计划项目(ZDYF2018145)

Effect of different interventions on sleep quality of nursing staff: a network meta-analysis

  1. 1. School of International Nursing, Hainan Medical University, Haikou Hainan, 571199, China; 2. Nursing Department,
    Second Affiliated Hospital of Hainan Medical University, Haikou Hainan, 570100, China
  • Received:2020-07-17 Accepted:2020-09-21 Online:2021-01-01 Published:2021-03-03

摘要:

目的 系统性分析不同干预措施对护理人员睡眠质量的影响。 方法 计算机检索 PubMed、Embase、Medline、CINAHL、The Cochrane Library、中国学术期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、万方和维普数据库中关于不同干预措施对护理人员睡眠质量影响的随机对照研究(RCTs)文献。 以 Cochrane Library 风险质量评价工具进行文献评价和等级评读。 使用 Review Manager 5.2 进行传统 meta 分析和 ADDIS 1.16.8 进行网状 meta 分析。 结果 共纳入 12 项文献,11 种干预措施,共 1 007 名护理人员。 传统 meta 分析显示,此次纳入的非药物干预措施可以有效改善护理人员的睡眠质量(MD=-2.73,95%CI:-3.42~-2.04),差异有统计学意义(<0.01)。 网状 meta 分析显示,耳穴压豆对比常规护理能有效降低护理人员的匹兹堡睡眠质量指数(PSQI)得分(MD=-4.70, 95%CI:-9.26~-0.04),差异有统计学意义(P<0.05)。概率排序结果显示,在常规护理组别中,耳穴压豆>认知行为干预+脑电生物反馈>恢复体验干预>团体心理干预>人性化管理>刮痧>常规护理。 结论 非药物干预措施可以有效改善护理人员的睡眠质量。 与常规护理措施对比,耳穴压豆可以有效改善护理人员的睡眠质量。

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Abstract:

Objective To systematically evaluate the effects of different interventions on sleep quality of nursing staff. Methods Randomized Controlled Trials(RCTs) about the effects of different interventions on sleep quality of nursing staff were searched from PubMed, Embase, Medline, CINAHL, The Cochrane Library, CNKI, CBM, Wanfang and VIP databases by computer retrieval. The Cochrane Library risk quality assessment tool was used for literature evaluation and grade evaluation. Review Manager 5.2 was used for traditional meta-analysis and ADDIS 1.16.8 was used for network meta-analysis. Results A total of 12 articles and 11 interventions were included,involving 1 007 nurses. Traditional meta-analysis showed that the non drug intervention measures could effectively improve the sleep quality of nursing staff (MD=-2.73,95%CI :-3.42--2.04), and the difference was statistically significant (P<0.01). Network meta-analysis showed that auricular points plaster therapy could effectively reduce the PSQIscore of nursing staff as comparedwith routine nursing intervention(MD=-4.70, 95%CI:-9.26 0.04), and the difference was statistically significant(P<0.05). The probability ranking results showed that in the routine nursing groups,auricular points plaster therapy >cognitive behavior intervention +EEG biofeedback >recovery experience intervention >group psychological intervention>humanized management>scraping>routine nursing. Conclusion Non drug intervention can effectively improve the sleep quality of nursing staff. Compared with routine nursing measures, auricular points plaster therapy can improve the sleep quality of nursing staff.

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