非药物干预对肾移植受者睡眠质量影响效果的网状meta分析  

The effects of non-pharmacological interventions on sleep qualityof kidney transplant recipients: a network meta-analysis

作　　者：李香儒 刘红霞[1] 赵颖[2] 林可可 张淑萍[1] 林晓鸿[1] LI Xiangru;LIU Hongxia;ZHAO Ying;LIN Keke;ZHANG Shuping;LIN Xiaohong(School of Nursing,Beijing University of Chinese Medicine,Beijing 100029,China;不详)

机构地区：[1]北京中医药大学护理学院,北京100029 [2]中日友好医院泌尿外科,北京100029

出　　处：《中华全科医学》2025年第5期871-875,共5页Chinese Journal of General Practice

基　　金：国家自然科学基金项目(82072553)。

摘　　要：目的 评估不同非药物干预方式对肾移植受者睡眠质量的干预效果,为护理实践提供非药物干预的循证依据。方法 系统检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Embase、Cochrane Library等数据库中关于非药物干预方式对肾移植受者睡眠质量影响的随机对照试验。检索时限为建库至2024年8月。使用RStudio和Review Manager 5.4软件进行网状meta分析。结果 最终纳入16项研究,共包括11种干预措施,共1 262例肾移植受者。网状meta分析结果显示,与常规护理组相比,归因训练(SMD=-3.64,95%CI:-4.34~-2.93)、五音疗法结合穴位按摩(SMD=-3.53,95%CI:-4.31~-2.75)、优质护理(SMD=-1.95,95%CI:-2.84~-1.06)、正念认知疗法(SMD=-1.68,95%CI:-2.35~-1.01)、认知行为疗法(SMD=-1.52,95%CI:-2.04~-0.99)对肾移植受者的睡眠质量有较好的改善效果。累积排序概率图下面积显示,归因训练是改善肾移植受者睡眠质量的最佳非药物干预方式。结论 非药物干预可以改善肾移植受者睡眠质量,建议临床优先选择归因训练等措施改善肾移植受者睡眠质量,同时也可以综合各干预措施特点,构建个性化、综合化的干预方案。Objective To evaluate the effects of different non-pharmacological interventions on sleep quality of kidney transplant recipients,and to provide evidence-based non-drug interventions for nursing practice.Methods Randomized controlled trials on the effects of non-pharmacological interventions on sleep quality of kidney transplant recipients were systematically searched from CNKI,Wanfang database,VIP database,Chinese Biomedical Literature Database,PubMed,Embase,and Cochrane Library.The search time limit was from the establishment of the database to August 2024.Network meta-analysis was performed using RStudio and Review Manager 5.4 software.Results Sixteen studies were ultimately included,including a total of 11 interventions,with a total of 1262 kidney transplant recipients.Compared with the usual care group,rankings of interventions which showed significant effects on sleep quality of kidney transplant recipients were attribution training(SMD=-3.64,95%CI:-4.34 to-2.93),tune therapy combined with point massage(SMD=-3.53,95%CI:-4.31 to-2.75),high-quality care(SMD=-1.95,95%CI:-2.84 to-1.06),mindfulness-based cognitive therapy(SMD=-1.68,95%CI:-2.35 to-1.01),cognitive behavioral therapy(SMD=-1.52,95%CI:-2.04 to-0.99).The area under the cumulative ranking probability map showed that attribution training is the best non-pharmacological intervention to improve the sleep quality of kidney transplant recipients.Conclusion Non-pharmacological interventions can improve the sleep quality of kidney transplant recipients,and it is suggested that clinical measures such as attribution training should be preferred to improve the sleep quality of kidney transplant recipients.And the characteristics of each intervention measure can be integrated to build a personalized and comprehensive intervention plan.

关 键 词：肾移植 睡眠质量 非药物干预 网状meta分析 

分 类 号：R699.2[医药卫生—泌尿科学]