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健康教育对治疗儿童特应性皮炎疗效的 Meta 分析:随机对照试验研究

Efficacy of health education on treatment of children with atopic dermatitis: a meta-analysis of randomized controlled trials.

机构信息

Department of Dermatology, Children's Hospital, School of Medicine, University of Zhejiang, No. 3333 Binsheng Road, Hangzhou, Zhejiang, China.

Department of Children's Health Care, Children's Hospital, School of Medicine, University of Zhejiang, Hangzhou, China.

出版信息

Arch Dermatol Res. 2020 Dec;312(10):685-695. doi: 10.1007/s00403-020-02060-7. Epub 2020 Apr 15.

Abstract

Atopic dermatitis (AD) seriously affects the quality of life of children and their families. This meta-analysis aimed to comprehensively analyze health education on the treatment of children with AD and the quality of life of the patient's family. A comprehensive search of reference lists in PubMed, Embase, Cochrane Library, Wanfang, CNKI, and VIP databases from inception until April 2018 was performed. The weighted mean difference (WMD) with 95% confidence interval (CI) was calculated. A total of eight randomized controlled trials studies were included in the analysis. The heterogeneity among enrolled studies was statistically significant, and the random effects model was used. The meta-analysis showed that the health education group had significantly lower SCORing Atopic Dermatitis (SCORAD) (WMD = 7.57 [95% CI 2.77, 12.36], P = 0.002 at 3 months; WMD = 6.88 [95% CI 2.68, 11.08], P = 0.001 at 6 months; WMD = 8.67 [95% CI 3.67, 13.67], P = 0.0007 at 12 months), objective SCORAD (WMD = 7.60 [95% CI 1.37, 13.83], P = 0.02 at 6 months; WMD = 5.15 [95% CI 1.89, 8.41], P = 0.002 at 12 months), and Infants' Dermatology Quality of Life Index (WMD = 0.96 [95% CI 0.06, 1.86], P = 0.04 at 3 months, and WMD = 1.50 [95% CI 0.33, 2.67] at 6 months, P = 0.01) scores compared with the non-health education group. Health education could improve the treatment of children with AD and promote disease control.

摘要

特应性皮炎(AD)严重影响儿童及其家庭的生活质量。本荟萃分析旨在全面分析健康教育对儿童 AD 治疗和患者家庭生活质量的影响。通过对 PubMed、Embase、Cochrane Library、万方、CNKI 和 VIP 数据库的参考文献进行全面检索,检索时间截至 2018 年 4 月。采用加权均数差(WMD)及其 95%置信区间(CI)进行分析。共纳入 8 项随机对照试验研究。研究之间的异质性具有统计学意义,采用随机效应模型。荟萃分析结果显示,健康教育组 SCORing 特应性皮炎(SCORAD)评分明显更低(3 个月时 WMD=7.57[95%CI 2.77,12.36],P=0.002;6 个月时 WMD=6.88[95%CI 2.68,11.08],P=0.001;12 个月时 WMD=8.67[95%CI 3.67,13.67],P=0.0007),客观 SCORAD 评分(6 个月时 WMD=7.60[95%CI 1.37,13.83],P=0.02;12 个月时 WMD=5.15[95%CI 1.89,8.41],P=0.002)和婴儿皮肤病生活质量指数(WMD=0.96[95%CI 0.06,1.86],P=0.04,3 个月;WMD=1.50[95%CI 0.33,2.67],P=0.01,6 个月)均明显优于非健康教育组。健康教育可以改善儿童 AD 的治疗,促进疾病控制。

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