健康教育模式对脑卒中患者干预效果的网状meta分析  

Mesh meta analysis of the intervention effects of health education models in stroke patients

作　　者：马晓林 钟华[1] 朱利莉 杨晓晏 曾秋霞 张福琴[1] MA Xiaolin;ZHONG Hua;ZHU Lili;YANG Xiaoyang;ZENG Qiuxia;ZHANG Fuqing(Department of Acupuncture,Chongqing Traditional Chinese Medicine Hospital,Chongqing 400021,China)

机构地区：[1]重庆市中医院针灸科,重庆400021

出　　处：《中国医药导报》2022年第29期85-89,共5页China Medical Herald

基　　金：重庆市科卫联合医学科研项目(2021MSXM016)。

摘　　要：目的 采用网状meta分析探讨不同健康教育模式对脑卒中患者的干预效果,为脑卒中患者选择最佳健康教育模式提供参考。方法 计算机检索Cochrane Library、PubMed、Embase、Web of Science、MEDLINE、CBM、CNKI、VIP和万方数据库建库至2021年5月关于不同健康教育模式干预脑卒中患者疗效的随机对照试验,提取数据和方法学质量评价,采用Stata 15.1进行网状meta分析。结果 共纳入19篇文献,涉及脑卒中患者1 642例。网状meta分析显示,与对照组比较,赋能健康教育模式提高患者Barthel指数效果最佳(SMD=1.46,95%CI:1.21~1.77,P <0.05),健康行为过程理论(HAPA)教育模式提升患者脑卒中专用生活质量量表(SMD=0.000 01,95%CI:0~0.02,P <0.05)、健康促进生活方式量表Ⅱ评分(SMD=0.000 01,95%CI:0~10.04,P <0.05)效果最佳,格林健康教育模式改善患者运动功能Fugl-Meyer评定量表评分效果最佳(SMD=2.058,95%CI:1.960~3.410,P <0.05)。结论 赋能健康教育模式、格林教育模式、HAPA模式可提高患者生活能力、生活质量及运动功能,达到健康促进的目的,具有推广价值。Objective To explore the intervention effects of different health education models in stroke patients by mesh meta analysis, so as to provide a reference for stroke patients to choose the best health education model. Methods Cochrane Library, PubMed, Embase, Web of Science, MEDLINE, CBM, CNKI, VIP, and Wanfang Data were searched for randomized controlled trials on the efficacy of different health education modes in stroke patients from the inception to May 2021. Data were extracted and methodological quality was evaluated, and the mesh meta analysis was performed by Stata 15.1. Results A total of 19 literatures were included, involving 1 642 stroke patients. Mesh meta analysis showed that, compared with the control group, the enabling health education model had the best effect on improving the Barthel index of patients(SMD = 1.46, 95%CI: 1.21-1.77, P < 0.05). Health action process approach(HAPA) education model had the best effect in improving the scores of Spanish stroke-specific quality-of-life(SMD = 0.000 01, 95%CI:0-0.02, P < 0.05) and health-promoting life style profile Ⅱ(SMD = 0.000 01, 95%CI: 0-10.04, P < 0.05). The Green health education model had the best effect on motor function Fugl-Meyer assessment scale(SMD = 2.058, 95% CI:1.960-3.410, P < 0.05). Conclusion The enabling health education model, Green education model, and HAPA model can improve patients’ living ability, quality of life and motor function, achieve the purpose of health promotion, and have the value of promotion.

关 键 词：脑卒中 健康教育模式 干预效果 网状meta分析 

分 类 号：R651.1[医药卫生—外科学]