埃塞俄比亚心血管疾病患者健康相关生活质量的系统评价与荟萃分析。
A systematic review and meta-analysis of health-related quality of life among patients with cardiovascular diseases in Ethiopia.
作者信息
Tassew Worku Chekol, Zeleke Agerie Mengistie, Woldie Samson Sisay, Ferede Yeshiwas Ayale
机构信息
Medical Nursing Department, Teda Health Science College, Gondar, Ethiopia.
Clinical Midwifery Department, Teda Health Science College, Gondar, Ethiopia.
出版信息
Front Cardiovasc Med. 2024 Dec 23;11:1419538. doi: 10.3389/fcvm.2024.1419538. eCollection 2024.
INTRODUCTION
Despite Ethiopia's best efforts, the physical, psychological, social, and environmental aspects of quality of life among patients with cardiovascular illnesses such as hypertension have not received adequate consideration. The quality of life among patients with cardiovascular diseases in Ethiopia has not been thoroughly examined; therefore, this study aimed to assess the prevalence and factors associated with health-related quality of life among patients with cardiovascular diseases.
METHODS
The results of this systematic review and meta-analysis were reported in accordance with the International Recommended Reporting items for Systematic Review and Meta-analysis guidelines. A thorough search of published literature was conducted utilizing reliable databases (PubMed) and web-based search platforms (Science Direct, African Journals Online, and Google Scholar). The extracted data were imported to STATA version 11 to determine the pooled prevalence of health-related quality of life. The heterogeneity among the results of the primary studies was analyzed using Cochran's test and quantified using statistics. A funnel plot and Egger's test were used to determine the presence of publication bias.
RESULTS
This systematic review and meta-analysis included 10 published articles. The pooled prevalence of health-related quality of life among patients with cardiovascular diseases in Ethiopia was 45.32% [95% confidence interval (CI): 37.44-53.20, < 0.001]. Age older than 60 years [odds ratio (OR) = 3.71, 95% CI: 2.81-4.89], presence of chronic comorbidities (OR: 2.87, 95% CI: 1.72-3.4.79), and rural residence (OR = 15.31, 95% CI: 2.82-83.26) were associated with poor health-related quality of life.
CONCLUSION
According to the findings of this study, a large number of patients with cardiovascular diseases in Ethiopia experience poor health-related quality of life. Furthermore, age above 60 years, presence of comorbidities, and rural residence were found to have substantial impacts on the quality of life of patients. As a result, this review recommends that quality-of-life evaluation be included in routine patient treatment regimens.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=573993, identifier (CRD42024573993).
引言
尽管埃塞俄比亚做出了最大努力，但高血压等心血管疾病患者生活质量的身体、心理、社会和环境方面尚未得到充分考虑。埃塞俄比亚心血管疾病患者的生活质量尚未得到全面研究；因此，本研究旨在评估心血管疾病患者健康相关生活质量的患病率及其相关因素。
方法
本系统评价和荟萃分析的结果按照国际推荐的系统评价和荟萃分析报告项目指南进行报告。利用可靠的数据库（PubMed）和基于网络的搜索平台（Science Direct、非洲期刊在线和谷歌学术）对已发表的文献进行全面搜索。将提取的数据导入STATA 11版本以确定健康相关生活质量的合并患病率。使用 Cochr an检验分析主要研究结果之间的异质性，并使用统计量进行量化。使用漏斗图和Egger检验来确定是否存在发表偏倚。
结果
本系统评价和荟萃分析纳入了10篇已发表的文章。埃塞俄比亚心血管疾病患者健康相关生活质量的合并患病率为45.32%[95%置信区间（CI）：37.44 - 53.20，<0.001]。60岁以上的年龄[比值比（OR）=3.71，95%CI：2.81 - 4.89]、存在慢性合并症（OR：2.87，95%CI：1.72 - 3.4.79）和农村居住（OR = 15.31，95%CI：2.82 - 83.26）与健康相关生活质量差有关。
结论
根据本研究的结果，埃塞俄比亚大量心血管疾病患者的健康相关生活质量较差。此外，发现60岁以上的年龄、合并症的存在和农村居住对患者的生活质量有重大影响。因此，本综述建议将生活质量评估纳入常规患者治疗方案。系统评价注册：https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=573993，标识符（CRD42024573993）。
Zotero 插件