冠心病PCI术后实施延续性护理对预后影响的Meta分析

目的 定量评价延续性护理对冠心病经皮冠状动脉介入治疗术后患者的预后影响。方法 计算机检索中国知网、万方、维普、中华医学期刊、PubMed及Web of Science数据库中有关冠心病患者经皮冠状动脉介入治疗（percutaneous coronary intervention,PCI）术后以常规护理为对照组实施延续性护理的随机对照试验（randomized controlled trial,RCT）的文献，由2名研究员依据纳入和排除标准筛选文献，采用Jadad文献质量标准对纳入的RCT文献质量进行评估，使用RevMan5.4软件进行Meta分析。结果 最终纳入RTC文献13篇，共1 519例患者（760/759）。Meta分析结果显示，与常规护理相比，延续性护理可提高患者的自我护理能力[WMD=9.60,95%CI(7.22,11.98),P<0.001]、提高生活质量[WMD=12.16,95%CI(10.26,14.05),P<0.001]、[WMD=7.42,95%CI(5.00,9.83),P<0.001]、增强对医嘱的依从性[OR=3.93,95%CI(3...

A meta-analysis of the effect of continuing care on the prognosis of coronary heart disease after PCI

Objective To quantitatively evaluate the effect of continuous care on the prognosis of patients with coronary heart disease after PCI. Methods Computerized retrieval of relevant literature on randomized controlled trials （RCT） in patients with coronary heart disease after percutaneous coronary intervention （PCI） surgery with routine care as the control group and continued care. The literature is obtained from the databases of CNKI, Wanfang, Weipu, Chinese Medical Journals, PubMed and Web of Science. Two researchers screened the literature based on the inclusion and exclusion criteria. Jadad's literature quality criteria were used to evaluate the quality of the included RCT literature, and the RevMan5.4 software was used for meta-analysis. Results Thirteen RCT articles with a total of 1 519 patients （760/759） were included. Meta-analysis results show that compared with conventional care, continuous care can improve the self-care ability of patients [WMD=9.60, 95%CI （7.22,11.98）, P<0.001], and improve the quality of life [WMD=12.16,95%CI（10.26,14.05）, P<0.001], [WMD=7.42, 95%CI（5.00,9.83）, P<0.001], enhance compliance with doctor's orders [OR=3.93, 95%CI（3.08,5.01）, P<0.001], relieve symptoms of anxiety and depression [WMD=-11.85, 95% CI （-15.41, -8.30）, P<0.001], reduce the occurrence of cardiovascular events [WMD=0.22, 95% CI （0.12, 0.41）, P<0.001]. Conclusion Continuous nursing can effectively improve the quality of life and prognosis of patients with coronary heart disease after PCI. It is recommended that clinical practice be actively carried out.