互联网医疗应用于中国患者经皮冠状动脉介入治疗的术后管理的Meta分析  

Effects of internet medicine on postoperative management of percutaneous coronary intervention in Chinese patients:A meta-analysis

作　　者：鞠庆梅 葛丽霞 郭奕嫱 刘洋[3] JU Qing-mei;GE Li-xia;GUO Yi-qiang;LIU Yang(Pediatrics Department,Emergency General Hospital,Beijing 100028,China;School of Nursing,Capital Medical University,Beijing 100069,China;School of Medicine,Xiamen University,Xiamen 361102,China)

机构地区：[1]应急总医院儿科,北京市100028 [2]首都医科大学护理学院 [3]厦门大学医学院

出　　处：《中国心血管病研究》2022年第3期220-225,共6页Chinese Journal of Cardiovascular Research

基　　金：北京市博士后工作经费资助项目(2020ZZ013)。

摘　　要：目的评价互联网医疗应用于中国患者经皮冠状动脉介入治疗的术后管理效果。方法计算机检索数据库PubMed、Web of Science、Cochrane Library、EMBASE、中国学术期刊数据库、万方数据库、维普数据库、中国生物医学文献数据库等数据库中有关互联网医疗应用于中国患者经皮冠状动脉介入治疗(PCI)术后的随机对照试验,对纳入的所有文献提取数据后进行质量评价,采用RevMan5.4软件进行Meta分析。结果最终纳入进行评价的文献39篇,合计患者5311例。PCI术后应用互联网医疗程序组的生活质量[SMD=0.84,95%CI 0.58~1.10,P<0.0001]、焦虑水平[MD=-8.22,95%CI-10.22~-6.23,P<0.00001]、抑郁水平[MD=-9.29,95%CI-12.50~-6.07,P<0.00001]、服药依从性[OR=3.25,95%CI 2.57~4.10,P<0.00001]、疾病认知水平[MD=9.76,95%CI 7.27~12.24,P<0.00001]、不良事件发生率[OR=0.22,95%CI 0.17~0.29,P<0.00001],与常规术后管理组相比,差异有统计学意义。结论在以互联网平台为依托的基础上进行的PCI术后管理,显著提高了患者的生活质量,改善了心理状态,提高了服药依从性,降低了心绞痛、心力衰竭、心肌梗死等不良事件发生率。Objective To evaluate the effects of internet medicine on postoperative management of percutaneous coronary intervention in chinese patients.Methods Searched database including PubMed,Web of Science,Cochrane Library,EMBASE,CNKI,Wanfang Database,VIP,CBM.Randomized controlled trials and randomized cross trials of internet medicine in patients after percutaneous coronary intervention(PCI)were included.Quality evaluation was carried out after data extraction,then meta-analysis was performed using RevMan5.4 software.Results A total of 39 studies were included,which involving 5311 subjects.Quality of life[SMD=0.84,95%CI(0.58~1.10),P<0.0001],anxiety level[MD=-8.22,95%CI(-10.22~6.23),P<0.00001],depression level[MD=-9.29,95%CI(-12.50~6.07),P<0.00001],medication compliance[OR=3.25,95%CI(2.57~4.10),P<0.00001],disease cognition level[MD=9.76,95%CI(7.27~12.24),P<0.00001],adverse event rates[OR=0.22,95%CI(0.17~0.29),P<0.00001],compared with routine care group,the differences were statistically significant.Conclusion Post-PCI care based on the Internet platform significantly improves the quality of patients’life,psychological state,medication compliance,and reduces the incidence of adverse events such as angina,heart failure,and myocardial infarction.

关 键 词：互联网 经皮冠状动脉介入术 术后管理 服药依从性 不良事件发生率 META分析 

分 类 号：R541.4[医药卫生—心血管疾病]