体质量管理对慢性心力衰竭患者生命质量影响的Meta分析  

Effect of weight management for the quality of life of patients with chronic heart failure:A Meta-analysis

作　　者：庞建美 柳红娟 李宏生 栾晓嵘[2] Pang Jianmei;Liu Hongjuan;Li Hongsheng;Luan Xiaorong(Nursing College of Shandong University,Jinan 250014,China;Nursing Department of Qilu Hospital of Shandong University,Jinan 250014,China)

机构地区：[1]山东大学护理学院,济南250014 [2]山东大学齐鲁医院护理部,济南250014

出　　处：《中国实用护理杂志》2019年第2期151-156,共6页Chinese Journal of Practical Nursing

摘　　要：目的 评价体质量管理对慢性心力衰竭患者生命质量的影响。 方法 通过计算机检索中国知网、万方数据库、中国生物医学数据库、中文科技期刊数据库、PubMed、Cochrane Library、Web of Science、Embase数据库,时间为建库至2017年12月,纳入体质量管理在慢性心力衰竭患者中的随机对照试验。对纳入的文献进行质量评价并提取数据,采用RevMan5.3软件进行Meta分析。 结果 共纳入5篇文献,共739次人数。Meta分析结果显示,体质量管理组慢性心衰患者生命质量总评分[MD=-10.38(95% CI-19.83^-0.93),Z=2.15,P=0.03]以及生命质量情感领域评分[MD=-2.45(95%CI-4.35^-0.55),Z=2.53,P=0.01]和身体领域评分[MD=-6.61(95%CI-12.81^-0.41),Z=2.09,P=0.04]比较低,差异有统计学意义。 结论 体质量管理可以提高慢性心力衰竭患者的生命质量,可以从慢性心力衰竭患者的生命质量的情感领域和身体领域提高其生命质量,但是上述结果有必要进一步开展高质量、大样本随机对照实验予以证实。Objective To evaluate the effect of weight managementfor the quality of life of patients with chronic heart failure. Methods The randomized controlled trials (RCT) on the effect of weight management for the quality of life of patients with chronic heart failure interventions were collected using the databases of China National Knowledge Infrastructure (CNKI), The Wan fang database, CBM, Chinese Science and Technology Periodical Databases (VIP), PubMed, Cochrane Library, Web of Science, Embase, time for the construction of the database to December 2017. Quality evaluation and data extraction of the included literature. Data were analyzed with Revman5.3 software. Results Five RCTs were included in the study, with a total of 739 people. The results of Meta-analysis showed that the total score of QOL [MD=-10.38(95%CI-19.83--0.93), Z=2.15, P=0.03], QOL emotional domain score [MD=-2.45 (95%CI-4.35--0.55), Z=2.53, P=0.01] and body domain score [MD=-6.61 (95% CI-12.81--0.41), Z=2.09, P=0.04] of patients with chronic heart failure in weight management group were lower and statistically significant. Conclusions Weight management improve the quality of life in patients with chronic heart failure, weight management improve the quality of life in patients with chronic heart failure and the physical and emotional areas. However, it is necessary to carry out high-quality, large sample randomized controlled trials to confirm the above results.

关 键 词：体质量监测 体质量管理 慢性心力衰竭 生活质量 META分析 

分 类 号：R473.5[医药卫生—护理学]