自我管理干预对胃食管反流病患者健康影响的系统评价  

Effects of Self-management Intervention on Patients with Gastroesophageal Reflux:A Systematic Review

作　　者：彭易[1] 王岚[1] 邹静[1] 张仲翡[1] 秦黄雯 郭阳[1] 

机构地区：[1]上海市第六人民医院消化内科,上海200233

出　　处：《解放军护理杂志》2017年第21期11-15,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：上海市第六人民医院护理科研基金资助项目(院内-1615)

摘　　要：目的评价自我管理干预对胃食管反流病(gastro-esophageal reflux disease,GERD)患者健康的影响。方法2016年6月,电子检索Cochrane Library(1990-2016)、JBI Library、Pubmed(1990-2016)、护理数据库(1990-2016)、EMbase(1990-2016)、中国学术期刊网络出版总库(1994-2016)、万方数据库、中国生物医学文献数据库(1990-2016),纳入关于GERD的中、英文公开发表的随机对照试验(randomized control trials,RCT)。采用RevMan5.1软件进行数据合并分析,不能进行数据合并则采用描述性分析。结果最终纳入5篇研究,共611名患者。由于异质性较大,不强制进行合并,定性分析结果显示,自我管理干预能促进患者的自我管理行为,提高疾病相关知识水平。结论自我管理干预能够改善患者的反流症状、促进健康行为,但对患者健康相关生活质量(health-related quality of life,HRQOL)无明显改善作用。Objective To evaluate the effects of self-management intervention on patients with gastroe- sophageal reflux disease （GERD）.Methods The Cochrane Library （3rd Issue,2016）,JBI Library,Pubmed （1990-2016）,CINAHL （1990--2016）,EMbase （1990--2016）,CNKI （1994 2016）,Wanfang database, CBM （1990--2016） were searched to collect randomized control trials （RCTs）.The meta-analysis was con- ducted by RevmanS.l,data cannot be merged were analyzed by descriptive analysis method.Results Five RCTs and 611 patients were included. Descriptive analysis showed that self-management intervention could promote patients＇ self-management behavior and the level of disease related knowledge.Conclusion The self-management intervention can effectively improve the reflux symptoms in patients with GERD and pro- mote their health behaviors. It shows no obvious improvement for health-related aualitv of life （HROoL）.

关 键 词：自我护理 胃食管反流病 症状 系统评价 

分 类 号：R571[医药卫生—消化系统] R573[医药卫生—内科学]