摘要
目的:通过Meta分析评价出院计划对心肌梗死病人的干预效果。方法:检索PubMed、the Cochrane Library、Web of Science、EMbase、CINAHL、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中关于心肌梗死病人应用出院计划的随机对照试验,检索时限为建库至2024年1月31日。2名研究者独立进行文献筛选、资料提取及质量评价工作,采用RevMan 5.4软件进行Meta分析。结果:共纳入12项随机对照试验,共计1225例病人。Meta分析结果显示,与常规护理比较,出院计划干预可以预防不良心脏事件[OR=0.31,95%CI(0.20,0.48),Z=5.21,P<0.001]、降低非计划再入院率[OR=0.31,95%CI(0.18,0.52),Z=4.41,P<0.001]、改善左心射血分数[MD=4.83,95%CI(3.09,6.58),Z=5.43,P<0.001]、提高自我管理能力[SMD=3.46,95%CI(2.45,4.46),Z=6.71,P<0.001]及改善血压、血脂、体质指数、生活质量。结论:现有证据显示,出院计划在心肌梗死病人中的应用有助于预防心脏不良事件、降低非计划再入院率、改善身体一般指标控制情况及左心射血功能、提高自我管理能力及生活质量。
Objective:To evaluate the intervention effect of discharge plans on patients with myocardial infarction through Meta-analysis.Methods:Randomized controlled trials(RCTs)on the application of discharge plans in patients with myocardial infarction were retrieved from PubMed,the Cochrane Library,Web of Science,EMbase,CINAHL,CNKI,WanFang Database,VIP,and CBM.The search time limit was from the establishment of the database to January 31,2024.Two researchers independently performed literature screening,data extraction,and quality evaluation.The RevMan 5.4 software was used for Meta-analysis.Results:A total of 12 RCTs were included,involving 1225 patients.Meta-analysis results showed that compared with routine care,discharge planning intervention could prevent adverse cardiac events(OR=0.31,95%CI 0.20-0.48,Z=5.21,P<0.001),reduce unplanned readmission rate(OR=0.31,95%CI 0.18-0.52,Z=4.41,P<0.001),improve left ventricular ejection function(MD=4.83,95%CI 3.09-6.58,Z=5.43,P<0.001),improve self-management ability(SMD=3.46,95%CI 2.45-4.46,Z=6.71,P<0.001),and improve blood pressure,blood lipids,body mass index and quality of life.Conclusions:Existing evidence shows that the application of discharge planning in patients with myocardial infarction can help prevent adverse cardiac events,reduce the rate of unplanned readmission,improve the control of general physical indicators and left ventricular ejection function,and improve self-management ability and quality of life.
作者
朱晨阳
陈媛
张榕祥
陈诗琪
田凤
ZHU Chenyang;CHEN Yuan;ZHANG Rongxiang;CHEN Shiqi;TIAN Feng(School of Nursing,Fujian University of Traditional Chinese Medicine,Fujian 350100 China)
出处
《循证护理》
2024年第17期3057-3064,共8页
Chinese Evidence-Based Nursing
关键词
出院计划
心肌梗死
心脏不良事件
非计划再入院
左心射血功能
自我管理能力
META分析
discharge plan
myocardial infarction
adverse cardiac events
unplanned readmission
left ventricular ejection function
self-management ability
Meta-analysis
作者简介
朱晨阳,硕士研究生在读;通讯作者:陈媛,E-mail:28837445@qq.com。
