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对于患有心脏病的青少年和年轻成年人来说,过渡到成年期的计划的影响:通过元分析进行系统审查
Bo Ryeong Lee1, Hyun Young Koo1, Sangmi Lee2
1College of Nursing, Research Institute of Nursing Science, Daegu Catholic University, Daegu, Korea.
Cardiology in the young
|March 25, 2024
概括
过渡干预改善了患有先天性心脏病 (CHD) 的年轻人疾病知识和自我管理. 然而,证据质量较低,需要进一步研究才能广泛采用.
科学领域:
- 心脏病学 心脏病学
- 医疗保健的转型 医疗保健的转型
- 儿童至成人护理服务
背景情况:
- 随着先天性心脏病 (CHD) 的生存率上升,需要有效地过渡到成人护理.
- 目前,关于CHD过渡干预的经验证据不足.
- 患有心血管疾病的青少年和年轻人需要为终身健康管理提供量身定制的支持.
研究的目的:
- 系统地审查和元分析对患有心脏病的青少年和年轻成年人的过渡干预措施的有效性.
- 评估这些干预措施对疾病知识,自我管理和治疗连续性的影响.
- 评估支持这一群体过渡干预措施的证据质量.
主要方法:
- 在多个数据库 (如PubMed,Embase,Web of Science) 进行系统的文献搜索,截至2023年3月15日.
- 包括10项研究,包括1297名参与者,将过渡干预措施与对照组进行比较.
- 对疾病知识,自我管理和随访损失的定量影响的元分析.
主要成果:
- 过渡干预显著提高了与疾病相关的知识 (Hedge的g = 0.89) 和自我管理 (Hedge的g = 0.67).
- 干预措施有效地减少了对随访的损失 (OR = 0.41).
- 对所有主要结果的证据确定性被评为低或非常低.
结论:
- 过渡干预措施在改善患有心血管疾病的年轻成年人的关键结果方面表现出前景.
- 这些干预措施的实施可以支持疾病知识,自我管理和治疗连续性.
- 数据有限需要谨慎;未来的研究和广泛采用可能会改进这些发现.
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