自我管理干预对慢性心力衰竭患者预后的影响：一项荟萃分析。
Effect of self-management intervention on prognosis of patients with chronic heart failure: A meta-analysis.
机构信息
Institute of Chronic Disease Risks Assessment, School of Nursing and Health, Henan University, Kaifeng, China.
School of Basic Medical Sciences, Henan University, Kaifeng, China.
出版信息
Nurs Open. 2023 Apr;10(4):2015-2029. doi: 10.1002/nop2.1489. Epub 2022 Nov 20.
AIM
The purpose of this study is to explore the influence of self-management intervention on four prognostic indicators of readmission rate, mortality rate, self-management ability and quality of life in patients with chronic heart failure.
DESIGN
A meta-analysis.
METHODS
This study was selected from the related studies published from January 1999 to January 2022, and was searched by searching five databases: PubMed, Science of Website, China National Knowledge Infrastructure (CNKI), Wan Fang and Wei Pu (VIP). All standardized randomized controlled trial studies were collected, and the quality evaluation and meta-analysis of the included literature were conducted.
RESULTS
This study included 20 randomized controlled trials involving 3459 patients with chronic heart failure. Meta-analysis results showed that self-management intervention could reduce the readmission rate of patients with chronic heart failure, improved self-management ability of patients, improved quality of life, but there was no statistical significance in mortality.
目的
本研究旨在探讨自我管理干预对慢性心力衰竭患者再入院率、死亡率、自我管理能力和生活质量四个预后指标的影响。
设计
荟萃分析。
方法
本研究从 1999 年 1 月至 2022 年 1 月发表的相关研究中进行选择，并通过五个数据库：PubMed、Science of Website、中国国家知识基础设施（CNKI）、万方和维普（VIP）进行搜索。收集所有标准化随机对照试验研究，并对纳入文献进行质量评价和荟萃分析。
结果
本研究纳入了 20 项随机对照试验，共涉及 3459 例慢性心力衰竭患者。荟萃分析结果显示，自我管理干预可降低慢性心力衰竭患者的再入院率，提高患者的自我管理能力，改善生活质量，但死亡率无统计学意义。
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