摘要目的 采用Meta分析的方法,评价预见性护理在我国老年痴呆患者中的应用效果.方法 利用数据库检索,按照纳入、排除标准筛选文献,提取资料并评价纳入研究的文献,采用stata12.0、Revman 5.0软件进行Meta分析,针对不同对象采用不同的分析方法.结果 共纳入11篇文献,总样本量为688名.Meta分析显示预见性护理对我国老年痴呆患者的生活质量(QOLAD)的影响:χ2=557.76(df=7),P<0.1,以及I2=99％,用随机效应模式,经亚组分析,组内异质性较小,Z=5.54(P<0.00001),差异有统计学意义;总的平均效应量为6.56;对满意度的影响:χ2=76.82(df=7),P<0.00001,以及I2=91％,用随机效应模式.Z=3.76(P=0.0002),差异有统计学意义;对并发症的影响:χ2=3.58(df=7),P>0.1,以及I2=0％,用固定效应模式,各研究间的效应量是趋于一致,发表偏倚漏斗图基本对称,Z=7.48(P<0.00001),差异有统计学意义.结论 预见性护理在我国老年痴呆中的应用值得临床推广.

abstractsObjective To evaluate the application effect of predictive nursing in elderly patients with dementia in China by Meta analysis. Methods By using database retrieval, literature was selected according to the inclusion and exclusion criteria, and data were extracted and evaluated. Stata12. 0、 Revman 5. 0 software was used for Meta a-nalysis, and different methods were used for different objects. Results A total of 11 documents were included. The total sample size was 688. Meta analysis showed the effect of for predictive nursing on the quality of life ( QOLAD) of Alzheimer's patients in China, χ2=557. 76 (df=7), P<0. 1, and I2=99％. Using the random effect model, the in-tra-group heterogeneity was small and the difference was statistically significant, Z=5. 54 ( P<0. 00001 ) . The total average effect was 6. 56, and the effect on satisfaction, χ2=76. 82 (df=7), P<0. 00001, and I2=91％, with ran-dom effect mode. And the difference was statistically significant, Z=3. 76 (P=0. 0002), the effect on complications,χ2=3. 58 (df=7) P>0. 1 and I2=0％. The effect of each study was consistent with the fixed effect mode, the publi-cation bias funnel graph was basically symmetric, Z=7. 48 (P<0. 00001) and the difference was statistically signifi-cant. Conclusion Application of predictive nursing senile dementia in China is worthy of clinical promotion.