Application effect of the clinical nursing pathway for stroke′s patients: a Meta-analysis

Abstract

Objective To evaluate the application effect of the clinical nursing pathway for stroke′s patients by using the Meta-analysis. Methods The databases of Wanfang Data, CMA, CHDL and CBM were searched. This control study compared clinical nursing pathway and traditional nursing including from January 1998 to March 2014. Data collection and literature evaluation were performed by two reviewers independently. RevMan 5.2 was used for the Meta-analysis. Results Fifteen literatures included in Meta-analysis showed the statistical difference between clinical nursing pathway and traditional nursing on stroke′s patients in the average length of stay, average hospitalization expenses, patient satisfaction and Barthel index (P<0.05). Most trials included in the review had low quality. Conclusions The clinical nursing pathway has a better implementation effect compared with routine nursing, but there is a higher risk of bias in the literatures, and the results need a large number of clinical nursing practice and higher quality literatures to support. In practice, randomized control trials should be designed according to scientific methods and strict implementation. Key words: Clinical pathway; Stroke; Meta-analysis