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成人先天性心脏病:系统评价/荟萃分析。

Adult congenital heart diseases: systematic review/meta-analysis.

作者信息

Mahmod Ahmdelmukashfi M Elmustfa A Azem, Koko Shima Hassan Mohammed

机构信息

Faculty of Medicine and Health Sciences, Red Sea University, Port Sudan.

Faculty of Pharmacy, University of Khartoum, Khartoum, Sudan.

出版信息

Ann Med Surg (Lond). 2024 Jan 11;86(3):1606-1612. doi: 10.1097/MS9.0000000000001704. eCollection 2024 Mar.

DOI:10.1097/MS9.0000000000001704
PMID:38463124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10923378/
Abstract

BACKGROUND

Congenital heart disease (CHD) is a gross structural abnormality of the heart that has functional significance. The impact of CHD on the patients' quality of life (QOL) is a topic of considerable interest and importance to both researchers and clinician. However, there is a lack of systematic reviews investigating and identifying the QOL of congenital heart disease patients.

AIM

To assess the QOL of adult patients with congenital heart disease by reviewing the previous studies conducted on this subject.

METHODS

The PubMed and Google Scholar databases were explored for studies published between 2020 and 2022. The keywords used for the searching process included "QOL, Adults, CHD, Outcomes, Impact, Effects, Life of CHD Patients." The inclusion criteria were original English articles and full-text articles conducted on adult patients with congenital heart disease and reported quality of life.

RESULTS

A total of 5455 articles were obtained, but only seven articles were eligible for the inclusion criteria. The included studies involved a total of 8549 participants; 104 were healthy, and 8445 were adult patients with congenital heart disease. The investigated items of the studies included quality of life, health-related QOL, including physical and psychological dimensions, sense of coherence, mental health, physical functioning, physiological wellbeing, psychological resilience, anxiety, depression, illness perception, and health status.

CONCLUSION

Patients with congenital heart disease experience low QOL across all dimensions. The risk factors for poor QOL included age, depression, anxiety, and female gender.

摘要

背景

先天性心脏病(CHD)是一种具有功能意义的心脏结构严重异常。先天性心脏病对患者生活质量(QOL)的影响是研究人员和临床医生都相当感兴趣且重要的话题。然而,缺乏对先天性心脏病患者生活质量进行调查和识别的系统评价。

目的

通过回顾此前关于该主题的研究,评估成年先天性心脏病患者的生活质量。

方法

在PubMed和谷歌学术数据库中检索2020年至2022年发表的研究。检索过程中使用的关键词包括“生活质量、成年人、先天性心脏病、结局、影响、作用、先天性心脏病患者的生活”。纳入标准为关于成年先天性心脏病患者且报告了生活质量的英文原创文章和全文文章。

结果

共获得5455篇文章,但只有7篇文章符合纳入标准。纳入的研究共涉及8549名参与者;104名健康,8445名成年先天性心脏病患者。研究调查的项目包括生活质量、与健康相关的生活质量,包括身体和心理维度、连贯感、心理健康、身体功能、生理健康、心理复原力、焦虑、抑郁、疾病认知和健康状况。

结论

先天性心脏病患者在各个维度的生活质量都较低。生活质量差的风险因素包括年龄、抑郁、焦虑和女性性别。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0d7/10923378/f3e10a085960/ms9-86-1606-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0d7/10923378/f3e10a085960/ms9-86-1606-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0d7/10923378/f3e10a085960/ms9-86-1606-g001.jpg

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本文引用的文献

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Psychosocial Risk Factors for Health-Related Quality of Life in Adult Congenital Heart Disease.成人先天性心脏病患者健康相关生活质量的心理社会风险因素。
J Cardiovasc Nurs. 2023;38(1):70-83. doi: 10.1097/JCN.0000000000000897. Epub 2022 Mar 8.
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Quality of life and health status of hospitalized adults with congenital heart disease in Vietnam: a cross-sectional study.越南住院先天性心脏病成人的生活质量和健康状况:一项横断面研究。
BMC Cardiovasc Disord. 2021 May 5;21(1):229. doi: 10.1186/s12872-021-02026-1.
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The PRISMA 2020 statement: An updated guideline for reporting systematic reviews.
PRISMA 2020 声明:系统评价报告的更新指南。
Int J Surg. 2021 Apr;88:105906. doi: 10.1016/j.ijsu.2021.105906. Epub 2021 Mar 29.
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Poverty, quality of life and psychological wellbeing in adults with congenital heart disease in Chile.智利先天性心脏病成年人的贫困、生活质量和心理健康。
PLoS One. 2020 Oct 8;15(10):e0240383. doi: 10.1371/journal.pone.0240383. eCollection 2020.
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Physical Functioning, Mental Health, and Quality of Life in Different Congenital Heart Defects: Comparative Analysis in 3538 Patients From 15 Countries.不同先天性心脏病患者的身体功能、心理健康和生活质量:来自15个国家的3538例患者的比较分析
Can J Cardiol. 2021 Feb;37(2):215-223. doi: 10.1016/j.cjca.2020.03.044. Epub 2020 Apr 6.
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Sense of coherence in adults with congenital heart disease in 15 countries: Patient characteristics, cultural dimensions and quality of life.15 个国家成人先天性心脏病患者的综合感知能力:患者特征、文化维度和生活质量。
Eur J Cardiovasc Nurs. 2021 Feb 11;20(1):48-55. doi: 10.1177/1474515120930496.
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Quality-of-life research in adult patients with congenital heart disease: current status and the way forward.成人先天性心脏病患者生活质量研究:现状与未来方向。
Acta Paediatr. 2019 Oct;108(10):1765-1772. doi: 10.1111/apa.14876. Epub 2019 Jun 19.
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Why some people do well and others don't. The role of sense of coherence in disease adaptation.
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AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both.AMSTAR 2:一种用于系统评价的关键评估工具,该系统评价包括医疗保健干预措施的随机或非随机研究,或两者皆有。
BMJ. 2017 Sep 21;358:j4008. doi: 10.1136/bmj.j4008.
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