基于微信平台的健康教育对心脏瓣膜置换手术患者术后康复影响的Meta分析  

Effects of health education based on wechat platform on postoperative rehabilitation of patients with heart valve replacement surgery:a Meta-analysis

作　　者：曹艳 杨华 王晓红 井婧 CAO Yan;YANG Hua;WANG Xiaohong;JING Jing(Intracardiac Catheter Chamber,The First Affiliated Hospital of Air Force Medical University,Xi′an 710032,Shaanxi Province,China;Intracardiac Monitoring Room,The First Affiliated Hospital of Air Force Medical University,Xi′an 710032,Shaanxi Province,China.)

机构地区：[1]空军军医大学第一附属医院心内导管室,西安710032 [2]空军军医大学第一附属医院心内监护室,西安710032

出　　处：《预防医学情报杂志》2024年第7期861-867,876,共8页Journal of Preventive Medicine Information

摘　　要：目的 研究基于微信平台的健康教育对心脏瓣膜置换术患者术后康复及生活质量的影响,以期为心脏外科手术患者的术后康复提供相关参考。方法 采用复合逻辑检索方式,以“心脏瓣膜置换术”、“心脏瓣膜病变”、“微信平台健康教育”“Transcatheter aortic valve replacement”、“Heart valve replacement”、“Health education”等为检索词对Pubmed、Medline、知网等从建库至2023年10月的文献进行检索,并筛选心脏瓣膜置换术后对患者实施健康教育相关的参考文献。Review Manager 5.3软件进行Meta分析,若合并结果无明显的异质性(P≥0.1,I^(2)≤50%),选用固定效应模型。若存在明显的异质性(P<0.1,I^(2)>50%),选用随机效应模型。以P<0.05表示合并统计量有统计学意义。结果 研究共纳入9篇参考文献,结果显示,两组患者术后生活质量评分差异有统计学意义(Z=16.33,P<0.001)。抗凝知识知晓率分析结果显示,合并的文献无明显的异质性(P=0.57,I^(2)=0%),观察组患者抗凝知识知晓率明显高于对照组(Z=4.38,P<0.001)。观察组患者抗凝治疗依从性明显高于对照组(Z=5.56,P<0.001)。结论 心脏瓣膜置换术后实施基于微信平台的健康教育可以有效提升患者抗凝治疗依从性及相关知识知晓率,改善术后生活质量,效果优于常规教育模式,值得临床应用与推广。Objective To study the effects of health education based on wechat platform on postoperative rehabilitation and quality of life of patients with heart valve replacement,and to provide relevant reference for postoperative rehabilitation of patients with cardiac surgery.Methods A complex logic retrieval method was adopted.“transcatheter aortic valve replacement”,“heart valve disease”,“wechat platform health education”,“transcatheter aortic valve replacement”,“heart valve replacement”,“health education”and other search terms were used to search articles from Pubmed,Medline and CNKI from the establishment of the databases to October 2023,and references related to the implementation of health education for patients after heart valve replacement were screened.Meta-analysis was carried out by Review Manager software.If there was no obvious heterogeneity in the merger results(P≥0.1,I~2≤50%),the fixed effect model was selected.If there was obvious heterogeneity(P<0.1,I~2>50%),the random effect model was selected.P<0.05 was statistically significant.Results A total of 9 references were included in the study.The results showed that the difference of postoperative quality of life scores between the two groups was statistically significant(Z=16.33,P<0.001).The results of the analysis of the awareness rate of anticoagulation knowledge showed that there was no significant heterogeneity in the combined literature(P=0.57,I~2=0%).The awareness rate of anticoagulation knowledge in the observation group was significantly higher than that in the control group(Z=4.38,P<0.001).The anticoagulation therapy compliance of the observation group was significantly higher than that of the control group(Z=5.56,P<0.001).Conclusions The implementation of wechat-based health education after heart valve replacement can effectively improve patients′ compliance of anticoagulation therapy and the awareness rate of related knowledge,and improve the quality of life after surgery.The effect is better than the conventional ed

关 键 词：心脏瓣膜置换 生活质量 抗凝治疗 健康教育 

分 类 号：R473.6[医药卫生—护理学] R195[医药卫生—临床医学]