健康教育对心力衰竭患者自我护理和依从性的有效性：一项荟萃分析。
Effectiveness of health education in the self-care and adherence of patients with heart failure: a meta-analysis.
机构信息
Universidade Federal Fluminense, Hospital Universitário Antônio Pedro, Niterói, RJ, Brazil.
Universidade Federal Fluminense, Niterói, RJ, Brazil.
出版信息
Rev Lat Am Enfermagem. 2021 Jul 19;29:e3389. doi: 10.1590/1518.8345.4281.3389. eCollection 2021.
OBJECTIVE
to evaluate in the literature the effectiveness of the health education interventions in self-care and adherence to treatment of patients with Chronic Heart Failure.
METHOD
a systematic review with meta-analysis. Studies were selected that compared health education interventions with the usual care to assess the outcomes of adherence and self-care. The quality of the methodological evidence was assessed by the Grading of Recommendations, Assessment, Development and Evaluation system.
RESULTS
the educational interventions were more effective in relation to the usual care in the outcome of adherence (fixed effect=0-3841; p-value <0.001). There was no statistical difference in the outcome of self-care (fixed effect=0.0063; p-value=0.898).
CONCLUSION
the educational interventions improved the outcome of adherence, though not self-care in the patient with Heart Failure.
目的
在文献中评估健康教育干预措施对慢性心力衰竭患者自我护理和治疗依从性的有效性。
方法
系统评价和荟萃分析。选择了比较健康教育干预与常规护理以评估依从性和自我护理结果的研究。方法学证据的质量通过推荐分级、评估、发展和评估系统进行评估。
结果
教育干预在依从性结局方面比常规护理更有效（固定效应=0-3841；p 值<0.001）。自我护理结局方面没有统计学差异（固定效应=0.0063；p 值=0.898）。
结论
教育干预措施改善了心力衰竭患者的依从性结果，但对自我护理没有影响。
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