移动短信干预对肺结核患者治疗依从性影响的Meta分析  

Effect of mobile short message intervention on treatment compliance of pulmonary tuberculosis patients:a meta-analysis

作　　者：张露露 高静[1] 柏丁兮[1] 张浩 罗欢 ZHANG Lulu;GAO Jing;BO Dingxi;ZHANG Hao;LUO Huan(School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 610037,China)

机构地区：[1]成都中医药大学护理学院,成都611137

出　　处：《当代护士（上旬刊）》2022年第11期62-68,共7页Modern Nurse

基　　金：成都市科技局科技惠民项目(2015-HM01-00469-SF);四川省科学技术厅科研项目(2021JDKP0088)。

摘　　要：目的系统评价移动短信干预对肺结核患者治疗依从性的影响。方法使用计算机检索Cochrane Library、PubMed、Embase、Web of Science、CINAHL、中国知网、中国生物医学文献数据库、维普和万方数据库中关于移动短信干预对肺结核患者治疗依从性影响的随机对照试验。2名研究者各自完成文献筛选及数据提取,同时应用Cochrane系统评价手册的偏倚风险评价工具进行质量评价,采用RevMan 5.4软件进行Meta分析。结果共纳入7篇文献,包括2299例患者。Meta分析结果显示,与常规护理相比,短信干预能提高肺结核患者的治疗依从性[RR=1.38,95%CI(1.16,1.63),P<0.001]。亚组分析显示,短信干预2个月[RR=1.17,95%CI(1.08,1.28),P<0.001]以及干预6个月[RR=1.38,95%CI(1.16,1.63),P<0.001]均能提高患者的治疗依从性;非每日发送短信的频率能明显提高治疗依从性[RR=1.41,95%CI(1.24,1.62),P<0.001],每日发送短信对治疗依从性[RR=1.34,95%CI(1.00,1.79),P=0.05]无统计学意义;与常规护理相比,短信干预还对肺结核患者痰菌阴转率[RR=1.10,95%CI(1.03,1.17),P<0.05]以及胸部X线病灶吸收率[RR=1.24,95%CI(1.15,1.33),P<0.001]有所改善。结论在短期时间内,短信干预能提高肺结核患者的治疗依从性,并能改善痰菌阴转率和胸部X线病灶吸收率。未来还应开展更多高质量的随机对照试验对研究结果进行验证。Objective To systematically evaluate the effect of mobile short message intervention on treatment compliance of patients with pulmonary tuberculosis.Methods Randomized controlled trials about the effect of mobile short message intervention on treatment compliance of pulmonary tuberculosis patients were searched by computer in Cochrane Library,PubMed,Embase,Web of Science,CINAHL,China National Knowledge Infrastructure(CNKI),China Biomedical Literature Database,VIP and Wanfang database.The two researchers completed literature screening and data extraction respectively.At the same time,the risk bias evaluation tools of the Cochrane system evaluation manual were used for quality evaluation.Meta-analysis was perfomed by RevMan 5.4.Results A total of 7 articles were included,including 2299 patients.The results of meta-analysis showed that short message intervention could improve the treatment compliance of patients with pulmonary tuberculosis compared with routine nursing[RR=1.38,95%CI(1.16,1.63),P<0.001].Subgroup analysis showed that short message intervention for 2 months[RR=1.17,95%CI(1.08,1.28),P<0.001]and 6 months[RR=1.38,95%CI(1.16,1.63),P<0.001]could improve the treatment compliance of patients.The frequency of non-daily text messages could significantly improve treatment compliance[RR=1.41,95%CI(1.24,1.62),P<0.001],but daily text messages had no statistical significance on treatment compliance[RR=1.34,95%CI(1.00,1.79),P=0.05].Compared with routine nursing,short message intervention also improved the sputum-negative conversion rate of pulmonary tuberculosis patients[RR=1.10,95%CI(1.03,1.17),P<0.001]and chest X-ray focus absorption rate[RR=1.24,95%CI(1.15,1.33),P<0.001].Conclusion In a short time,short message intervention can enhance the treatment compliance of patients with pulmonary tuberculosis and improve the negative conversion rate of sputum and the absorption rate of chest X-ray.More high-quality randomized controlled trials should be carried out in the future.

关 键 词：移动短信 肺结核 依从性 META分析 随机对照试验 

分 类 号：R473.5[医药卫生—护理学]