“互联网+”护理服务模式对脑卒中患者康复结局影响的Meta分析  

Meta-analysis of the influence of"Internet+"nursing service model on the rehabilitation outcome of stroke patients

作　　者：张红[1] 陈元金 张健 连学敏 马玉凤[1] 程玲[1] 田喜凤 李美萱 陈长香 ZHANG Hong;CHEN Yuanjin;ZHANG Jian;LIAN Xuemin;MA Yufeng;CHENG Ling;TIAN Xifeng;LI Meixuan;CHEN Changxiang(School of Medicine,Tianjin Tianshi College,Tianjin,301700,China)

机构地区：[1]天津天狮学院医学院,天津市301700 [2]海南省第三卫生学校 [3]天津医科大学总医院

出　　处：《护理实践与研究》2023年第9期1398-1405,共8页Nursing Practice and Research

基　　金：天津市级“内科护理学”一流本科课程建设项目(编号:YLK202003);天津市教委科研计划项目(编号:2020SK138);天津天狮学院校级一流课程建设项目“内科护理学”(编号:YLK201908);天津天狮学院校级本科专业重点建设项目(编号:ZDZY202102)。

摘　　要：目的评价“互联网+”护理服务模式对脑卒中患者康复结局的影响。方法系统检索CNKI、万方、维普、PubMed、Web of Science等权威数据库中有关“互联网+”护理服务模式对脑卒中患者康复结局的研究,检索时间为建库至2021年8月,运用State 12.0对符合纳入标准的文献进行系统评价,通过计算均数差值及其置信区间进行判断。结果共纳入27篇文献,共有脑卒中患者3030例。分析结果显示,“互联网+”护理服务可以有效提高卒中患者康复期间的日常生活能力[加权均数差值(WMD)为11.38,95%CI为8.60~14.15]、运动功能(WMD=10.14,95%CI为7.82~12.45)、平衡功能(WMD=4.84,95%CI为1.52~8.16)、心理状况[标准均数差值(SMD)为3.32,95%CI为0.47~6.16]、焦虑(SMD=-1.08,95%CI为-1.77~-0.39)、抑郁(SMD=-1.18,95%CI为-1.80~-0.56)、生活质量(SMD=9.87,95%CI为6.84~12.89)、认知水平(SMD=1.80,95%CI为0.69~2.91)。结论“互联网+”护理服务模式为改善脑卒中患者康复效果、助力其回归社区和家庭提供了良好的渠道。Objective To evaluate the effect of"Internet+"nursing service model on the rehabilitation outcome of stroke patients.Methods A systematic search was conducted on the research of"Internet+"nursing service mode on the rehabilitation outcome of stroke patients from CNKI,Wanfang,VIP,PubMed,Web of Science and other authoritative databases.The retrieval time was from the database establishment to August 2021.State 12.0 was used to conduct a systematic evaluation of the literature meeting the inclusion criteria,and the difference of the mean and its confidence interval were calculated to judge.Results A total of 27 literatures were included,including 3030 patients with cerebral apoplexy.The analysis results showed that"Internet+"nursing service can effectively improve the daily living ability of stroke patients during rehabilitation[weighted mean difference(WMD)was 11.38,95%CI:8.60~14.15],motor function(WMD=10.14,95%CI:7.82~12.45),balance function(WMD=4.84,95%CI:1.52~8.16),psychological status[standard mean difference(SMD)3.32,95%CI:0.47~6.16],anxiety(SMD=-1.08,95%CI:-1.77~-0.39),depression(SMD=-1.18,95%CI:-1.80~-0.56),quality of life(SMD=9.87,95%CI:6.84~12.89),cognitive level(SMD=1.80,95%CI:0.69~2.91).Conclusion"Internet+"nursing service model provides a good channel to improve the rehabilitation effect of stroke patients and help them return to the community and family.

关 键 词：互联网+ 护理 脑卒中 META分析 康复结局 

分 类 号：R473.5[医药卫生—护理学]