中西医结合护理 (Oct 2023)
A meta-analysis on the demand rate of Traditional Chinese Medicine nursing technology for older adults (老年人中医护理技术需求率的Meta分析)
Abstract
Objective To systematically evaluate the demand rate of Traditional Chinese Medicine(TCM) nursing technology for older adults in China. Methods The Web of Science, Cochrane Library, PubMed, Embase, CNKI, CQ VIP, WanFang Data and SinoMed were retrieved for researches about the need of TCM nursing technology in older adults and (or) studies on factors influencing the rate of demand. These databases were systematically searched from inception up to March 1, 2023. Two researchers independently screened and used American Agency for Health care Research and Quality scale for quality evaluation. The meta-analysis was conducted using R4. 2. 3 software. Results A total of seven articles finally were included. The random effects models were used to combine the demand rate due to high heterogeneity. The results showed that the demand rate of TCM nursing technology for older adults was 86. 0% ［95% CI (69. 0%, 94. 0%)］. The analysis results of each subgroup showed that the demand rate of TCM nursing technology for older adults was higher among those who published after 2020, adopted random sampling method, had a sample size of less than 281 cases, lied in hospitals, located in the north of the survey area, and lived in cities. Conclusion Older adults have higher demand for TCM nursing technology. Although related studies explored factors influencing the demand rate, the heterogeneity among the studies is relatively large, resulting in controversial conclusions. Therefore, it is necessary to further explore the factors influencing the demand rate of TCM nursing technology for older adults. Future studies should focus on increasing health education and practical application of TCM nursing technology for older adults in a demand-oriented manner. In addition, the advantages of TCM nursing technology should be given full play in the prevention and treatment of chronic diseases in older adults. (目的 系统评价我国老年人中医护理技术的需求率。方法 检索Web of Science(WOS)、Cochrane Library(CL)、PubMed、Embase、中国知网(CNKI)、维普中文科技期刊全文数据库(VIP)、万方数据知识服务平台(Wanfang Data)、中国生物医学文献数据库(CBM)中关于老年人中医护理技术需求和(或)影响因素的研究, 检索时间为建库至2023年3月1日, 两名研究者独立进行筛选, 采用美国卫生保健质量和研究机构(AHRQ)量表进行质量评价, 运用R 4. 2. 3软件进行Meta分析。结果 经过文献筛选, 最终纳入7篇文献。由于异质性较高, 采用随机效应模型合并。结果显示, 老年人中医护理技术需求率为86. 0%［95%CI(69. 0%, 94. 0%)］。各亚组分析结果显示, 发表年份在2020年以后、采用随机抽样方法、样本量不足281例、调查场所位于医院、调查地区位于北方以及居住在城市的老年人中医护理技术需求率较高。结论 目前老年人对中医护理技术的需求较高。虽有相关研究探究其影响因素, 但各研究之间异质性较大, 致使研究结论尚存争议。故未来需进一步探究老年人中医护理技术需求的影响因素, 以需求为导向加大对老年人中医护理技术的健康教育与实际应用, 充分发挥中医护理技术在老年慢性病防治中应用的优势作用。)
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