对心力衰竭患者的同行支持:系统性审查和元分析
Shuri Nakao1, Tomohiko Kamo2,3, Hidehiro Someko3,4
1Division of Rehabilitation Medicine, Shimane University Hospital, Izumo, JPN.
Cureus
|November 29, 2023
概括
同行支持可能不会显著改善心力衰竭患者的结果. 证据表明对死亡率,再接收率和生活质量的影响很小,使得目前的认可是不合理的.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 同行支持,利用共同的经验,对糖尿病和精神疾病是有效的.
- 它对心力衰竭 (HF) 患者的影响尚未得到充分证实.
- 现有的关于对HF的同行支持的研究是有限的和不确定的.
研究的目的:
- 对心力衰竭患者的同行支持干预措施的有效性进行系统审查和元分析.
- 评估同行支持对HF患者死亡率,再入院率和生活质量的影响.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 在2022年10月之前搜索了主要数据库 (Cochrane,MEDLINE,Embase,WHO ICTRP,ClinicalTrials.gov)
- 使用GRADE方法评估证据的确定性.
主要成果:
- 包括3个RCT与390名高压患者.
- 同行支持显示死亡率可能略有增加 (低确定性证据).
- 观察到重新接收率的潜在降低 (低确定性证据).
- 关于改善生活质量的证据非常不确定 (确定性非常低的证据).
结论:
- 目前的低至非常低的确定性证据表明,同行支持并不能显著改善心力衰竭患者的关键结果.
- 根据现有数据,目前支持对心力衰竭管理的同行支持是不合理的.
- 可能需要进一步的高质量研究来澄清同行支持在心力衰竭护理中的作用.
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