远程运动康复训练对冠心病患者康复效果影响的meta分析  

Efficacy of remote exercise rehabilitation training on the rehabilitation effect of patients with coronary heart disease:a meta-analysis

作　　者：陈洁红 梁静莉 杨林玲 吴佳奇 陈文文 曹小翠[2] 马春花 CHEN Jiehong;LIANG Jingli;YANG Linling;WU Jiaqi;CHEN Wenwen;CAO Xiaocui;MA Chunhua(School of Nursing,Guangzhou Medical University,Guangzhou 510180,China;Department of Cardiology,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)

机构地区：[1]广州医科大学护理学院,广东广州510180 [2]广州医科大学附属第二医院心内科,广东广州510260

出　　处：《现代医药卫生》2022年第8期1312-1318,共7页Journal of Modern Medicine & Health

基　　金：广东医学科研基金(A2020087);广州医科大学护理学院2021年度院内教学科研能力提升计划研究生科研专项立项(202104-02)。

摘　　要：目的评价远程运动康复训练对冠心病患者运动耐力、血压、生活质量及焦虑抑郁情绪的影响。方法计算机检索PubMed、Embase、Web of Science、Cochrane Library、中国生物医学文献数据库、中国知网、万方数据库、维普数据库等有关远程运动康复训练应用于冠心病患者的随机对照试验,纳入文献时限从2015年1月1日至2020年12月11日。由2名研究员按照标准独立进行文献筛选、资料提取和质量评价后,采用RevMan 5.2统计软件进行meta分析。结果共纳入10项随机对照试验,试验组(357例)为远程医疗支持下的运动康复训练方案,对照组(382例)为常规护理或基于中心的运动康复训练。Meta分析显示,远程康复训练能提高患者的运动耐力、收缩压和生活质量,差异有统计学意义(P<0.05),而在改善舒张压及负性情绪方面效果尚不明显(P>0.05)。结论远程康复训练能提高患者的运动耐力、收缩压和生活质量,但在改善患者舒张压和焦虑抑郁情绪方面效果尚不明显。Objective To evaluate the effects of remote exercise rehabilitation training on exercise endurance,blood pressure,quality of life and psychosocial state of patients with coronary heart disease.Methods PubMed,Embsco-host,Web of science,Cochrane Library,SinoMed,CNKI,WanFang Data and Vip citation databases were used to search studies from January 1,2015 to December 11,2020 for randomised controlled trials of relevant remote exercise rehabilitation training applied in patients with coronary heart disease.Literature screening,data extraction and quality assessment were conducted by two reviewers independently,according to the standards.And then The meta-analysis was performed using the RevMan 5.2 statistical software.Results A total of ten randomized controlled trials were included,including 357 patients receiving exercise rehabilitation training with telemedicine support in the trial group and 382 patients receiving usual care or center-based exercise and rehabilitation training in the control group.Meta-analysis showed that remote rehabilitation training improved exercise endurance,systolic blood pressure and quality of life(P<0.05),while the effect in improving diastolic blood pressure and negative mood was not obvious(P>0.05).Conclusion Remote rehabilitation training can improve patients′exercise endurance,systolic blood pressure and quality of life,but is not yet effective in improving patients′diastolic blood pressure,anxiety and depression.

关 键 词：移动医疗 应用程序 运动康复 冠心病 META分析 

分 类 号：R473.5[医药卫生—护理学]