"互联网+"护理干预模式对不孕症患者负性情绪及妊娠结局影响的Meta分析  

Effects of the"Internet+"nursing model on negative emotion and pregnancy outcome of patients with infertility:a Meta-analysis

作　　者：王笑艳 朱晶晶 申梦丹 胡俊平[1,2] Wang Xiaoyan;Zhu Jingjing;Shen Mengdan;Hu Junping(School of Nursing,Lanzhou University,Lanzhou 730000,China;Reproductive Medicine Center,the First Hospital of Lanzhou University,Lanzhou 730000,China)

机构地区：[1]兰州大学护理学院,兰州730000 [2]兰州大学第一医院生殖医学中心,兰州730000

出　　处：《中国实用护理杂志》2024年第15期1190-1196,共7页Chinese Journal of Practical Nursing

摘　　要：目的系统评价"互联网+"护理干预模式对不孕症患者负性情绪和妊娠结局的影响。方法计算机检索PubMed、Cochrane Library、Web of Science、Embase、中国知网、万方、维普、中国生物医学文献数据库中关于"互联网+"护理干预模式在不孕症患者中应用的随机对照试验,检索时限为建库至2023年8月10日。由2名研究者独立对纳入文献进行资料提取和质量评价后,采用RevMan5.4软件进行Meta分析。结果纳入11篇文献,共1596例患者。Meta分析结果显示:"互联网+"护理干预模式可以改善不孕症患者的焦虑(SMD=-1.09,95%CI-1.76~-0.43,P<0.01)、抑郁(SMD=-0.98,95%CI-1.42~-0.54,P<0.01)、生化妊娠率(OR=1.67,95%CI 1.14~2.44,P<0.01)、临床妊娠率(OR=1.83,95%CI 1.22~2.73,P<0.01),但对生育压力无显著作用(MD=-3.81,95%CI-15.10~7.47,P>0.05)。结论"互联网+"护理干预模式能改善不孕症患者的焦虑、抑郁情绪和妊娠结局,但在生育压力改善方面尚缺乏证据支持。Objective To systematically evaluate the effects of"Internet+"nursing intervention mode on negative emotion and pregnancy outcome of infertility patients.Methods PubMed,Cochrane Library,Web of Science,Embase,China National Knowledge Infrastructure,Wanfang,VIP and Chinese Biomedical Literature Database were searched to collect randomized controlled tria related to the effects of"Internet+"nursing interventions on patients with infertility from the inception to August 10th 2023.Two researchers conducted independent quality evaluation,evidence extraction and summary of the literature.Meta-analysis was performed by RevMan 5.4 software.Results A total of 11 studies were included with a total of 1596 patients.The Meta-analysis showed that nursing interventions based on"Internet+"significantly improved the anxiety of patients with infertility(SMD=-1.09,95%CI-1.76--0.43,P<0.01),depression(SMD=-0.98,95%CI-1.42--0.54,P<0.01),biochemical pregnancy rate(OR=1.67,95%CI 1.14-2.44,P<0.01),clinical pregnancy rate(OR=1.83,95%CI 1.22-2.73,P<0.01),but no effect on infertility pressure(MD=-3.81,95%CI-15.10-7.47,P>0.05).Conclusions The interventions based on"Internet+"can effectively improve anxiety,depression and pregnancy outcome,but there is no adequate evidence of a reduction on infertility stress in patients.

关 键 词：焦虑 抑郁 妊娠结局 META分析 不孕症 互联网+ 

分 类 号：R473.71[医药卫生—护理学]