健康教育干预对儿童哮喘影响效果的Meta分析

目的 系统评价健康教育干预对儿童哮喘的影响。方法 检索PubMed,Wiley,CBM,Elsevier期刊全文数据库、中国知网(CNKI)、中国生物医学文献数据库(CBM)、重庆维普(VIP)和万方数据库,检索年限为2000-01～2015-02,以哮喘、健康教育、儿童、少儿、儿童哮喘、哮喘患儿为关键词查找关于健康教育对儿童哮喘影响的文献,严格按照纳入和排除标准进行文献筛选和质量评价,采用 Revman 5.2软件进行Meta分析。结果 健康教育组的急诊次数、住院天数均小于对照组,且具有统计学差异(P﹤0.05);且哮喘儿童及家长接受健康教育干预后,一年内儿童因哮喘发作的急诊次数及住院天数分别平均下降36%和37%。而健康教育组哮喘患儿的缺课天数与对照组之间差异无统计学(P﹦0.05)。结论 健康教育干预可降低儿童哮喘的急诊次数与住院天数。由于纳入研究质量有限,需待进一步临床研究。

The influence of health education intervention in child withasthma:a meta-analysis

Objective To systematically review and assess the relationship between health education and childhood asthma.Methods The PubMed,Wiley,CBM,Elsevier and Chinese periodical full-text databases of CNKI,CBM,VIP and Wan fang in compliance with the key words “asthma,childhood asthma,pediatric asthma,health education,asthma education,education,childhood asthma”published from 1 January 2000 to February 2015.The quality of documents were screened and assessed by strict accordance with the inclusion and exclusion criteria. Using RevMan 5.2 Meta-analysis.Results It showed significant differences in numbers of emergency department visits and hospitalization days between the health education intervention group and the control group.After receiving health education intervention,numbers of emergency department visits and hospitalization days fell by an average of 36% and 37%,respectively. But there were no significant differences in numbers of school absenteeism.Conclusion The health education may decrease numbers of emergency department visits and hospitalization days of children for asthma,but due to the limitation of the research quality,more clinical trials research should be carried out and analyzed deeply.