基于微信等移动平台对冠心病病人延续性护理效果的Meta分析  

Meta analysis of continuity of care effect of patients with coronary heart disease based on WeChat and other mobile platforms

作　　者：韩雪 李涛[1] 杨丽洁[1] HAN Xue;LI Tao;YANG Lijie(First Hospital of Shanxi Medical University,Shanxi 030001 China)

机构地区：[1]山西医科大学第一医院,030001

出　　处：《全科护理》2021年第1期15-19,共5页Chinese General Practice Nursing

摘　　要：目的:通过Meta分析探讨基于微信等移动平台的延续性护理对冠心病病人的护理效果。方法:选取中国知网、万方数据库、维普、中文生物医学期刊数据库等中文数据库进行文献检索,由2名评价员单独对检索的文献质量进行评价。采用RevMan 5.2软件对提取的资料进行Meta分析。结果:共纳入9项随机对照试验(RCT),包含1769例研究对象。3项研究服药依从性的监测指标是连续变量,延续性护理相较于常规护理能有效提高病人的服药依从性[SMD=1.60,95%CI(0.75,2.46),P<0.001];3项研究运动依从性的监测指标是分类资料,Meta分析结果显示延续性护理组与常规护理组在提高病人运动依从性方面差异无统计学意义[RR=2.05,95%CI(0.89,4.73),P=0.09];5项研究护理满意度的监测指标是分类资料,Meta分析结果显示延续性护理组与常规护理组在提高病人满意度方面差异无统计学意义[RR=1.22,95%CI(1.00,1.49),P=0.05]。结论:基于微信等移动平台的延续性护理相较于常规护理可明显提高冠心病病人的服药依从性。但是目前国内此类研究较少,研究质量不高,需要更多全面、深入的RCT研究进行论证。Objective:Meta analysis was conducted to explore the nursing effect of continuous nursing based on WeChat and other mobile platforms on patients with coronary heart disease.Methods:Chinese databases such as CNKI,Wanfang Database,VIP,and CBM were selected for literature retrieval,and two reviewers independently evaluated the retrieved literature quality.Meta analysis was conducted on the extracted data by using RevMan 5.2 software.Results:A total of 9 randomized controlled trials(RCTS)involving 1769 subjects were included.The monitoring indicators of medication compliance in the 3 studies were continuous variables,compared with conventional nursing,continuity of care can effectively improve patients′medication compliance[SMD=1.60,95%CI(0.75,2.46),P<0.001].The monitoring indicators of exercise compliance in the 3 studies were classified data,and Meta analysis results showed that there was no statistically significant difference between continuity of care and conventional nursing in improving patients′exercise compliance[RR=2.05,95%CI(0.89,4.73),P>0.05].The monitoring indicators of nursing satisfaction in the 5 studies was classified data,and Meta analysis results showed that there was no statistically significant difference between continuity of care and conventional nursing nursing in improving patients′satisfaction[RR=1.22,95%CI(1.00,1.49),P=0.05].Conclusions:Compared with conventional nursing,continuity of care based on WeChat and other mobile platforms can significantly improve medication compliance of patients with coronary heart disease.However,there were few such studies in China and the quality of the studies was poor,so more comprehensive and in-depth RCT studies were needed for demonstration.

关 键 词：微信 延续性护理 冠心病 服药依从性 META分析 

分 类 号：R473.5[医药卫生—护理学]