采用Meta分析综合评价循证护理(EBN)干预对重症监护病房(ICU)患者压力性损伤(PI)的影响。进行了计算机搜索，从数据库成立到2023年11月，在万方，PubMed,中国国家知识基础设施，谷歌学者，Embase,和Cochrane图书馆在ICU患者中应用EBN干预措施的随机对照试验（RCTs）。两名独立研究人员对文献进行了筛选，提取的数据，进行质量评价。采用Stata17.0软件进行数据分析。总的来说,25个随机对照试验,涉及2494名ICU患者，包括在内。研究发现，与常规护理方法相比，在ICU患者中实施EBN干预措施显着降低了PI的发生（比值比[OR]：0.22，95％置信区间[CI]：0.17-0.30，p<0.001），延迟了压疮的发病时间（标准化平均差[SMD]：-1.61，95％CI：-2.00至-1.22，p<0.001），也改善了护理满意度（OR：1.18，95％CI：1.14-1.23，p<0.001）。我们的研究结果表明，在ICU患者的PI护理中实施EBN干预措施非常有价值，可以减少PI的发生，可以延迟出现的时间，并且与相对较高的护理满意度相关，使其值得推广。
A meta-analysis was conducted comprehensively to investigate the impact of evidence-based nursing (EBN) interventions on pressure injury (PI) in the intensive care unit (ICU) patients. Computer searches were performed, from databases inception to November 2023, in Wanfang, PubMed, China National Knowledge Infrastructure, Google Scholar, Embase, and Cochrane Library for randomized controlled trials (RCTs) on the application of EBN interventions in ICU patients. Two independent researchers conducted screenings of the literature, extracted data, and carried out quality evaluations. Stata 17.0 software was employed for data analysis. Overall, 25 RCTs, involving 2494 ICU patients, were included. It was found that compared to conventional care methods, the implementation of EBN interventions in ICU patients markedly decreased the occurrence of PI (odds ratio [OR]: 0.22, 95% confidence interval [CI]: 0.17-0.30, p < 0.001), delayed the onset time of pressure ulcers (standardized mean difference [SMD]: -1.61, 95% CI: -2.00 to -1.22, p < 0.001), and also improved nursing satisfaction (OR: 1.18, 95% CI: 1.14-1.23, p < 0.001). Our findings suggest the implementation of EBN interventions in the care of PI in ICU patients is highly valuable, can reduce the occurrence of PI, can delay the time of appearance, and is associated with relatively higher nursing satisfaction, making it worthy of promotion.
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