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[目的]系统评价延伸式健康教育对心脏瓣膜置换术后病人治疗依从性的影响。[方法]计算机检索CBM、CNKI、VIP、万方数据库,纳入延伸式健康教育对心脏瓣膜置换术后病人治疗依从性影响的随机对照试验。用RevMan 5.3.5软件进行Meta分析。[结果]共纳入10个研究。Meta分析显示,延伸式健康教育组与传统健康教育组在用药依从性[RR=1.43,95%CI(1.19,1.72)]、合理饮食[RR=1.43,95%CI(1.28,1.59)]、定期复查[RR=1.61,95%CI(1.25,2.06)]、自我监测[RR=1.34,95%CI(1.14,1.58)]、出血发生率[RR=0.31,95%CI(0.19,0.49)]、栓塞发生率[RR=0.14,95%CI(0.04,0.46)]等方面差异具有统计学意义(P<0.01)。[结论]延伸式健康教育能提高心脏瓣膜置换术后病人治疗依从性,降低并发症发生率。受纳入研究质量的限制,尚需开展更多高质量研究验证上述结论。
[Objective] To systematically evaluate the effect of extended health education on patient compliance after heart valve replacement. [Methods] The CBM, CNKI, VIP and Wanfang databases were searched by computer and included in randomized controlled trials on the effect of extended health education on patient compliance after heart valve replacement. Meta-analysis was performed using RevMan 5.3.5 software. [Results] A total of 10 studies were included. Meta-analysis showed that there was no significant difference in the medication compliance (RR = 1.43, 95% CI 1.19, 1.72), reasonable diet [RR = 1.43, 95% CI 1.28, 1.59] between the extended health education group and the traditional health education group, The recurrence rate [RR = 0.31, 95% CI (0.19, 0.49)], recurrence rate [RR = 1.61,95% CI 1.25,2.06], self-monitoring [RR = 1.34,95% CI 1.14,1.58] ], The incidence of embolism [RR = 0.14,95% CI (0.04,0.46)] and other aspects of the difference was statistically significant (P <0.01). [Conclusion] Extended health education can improve patient compliance after heart valve replacement and reduce the incidence of complications. Due to the limitation of the quality of the research, more high-quality research is needed to verify the above conclusion.