对心力衰竭的成年人进行以患者和非正式照顾者为中心的护理干预:系统性审查和元分析

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Zhao Yingnan¹, Zhang Shulin², Lu Minxia¹

¹Department of Nursing, the First Affiliated Hospital of Soochow University, No.899 Pinghai Street, Suzhou, Jiangsu, China.

Intensive & critical care nursing

|March 6, 2025

概括

二次性自我护理干预显著改善心力衰竭患者的自我护理维护和管理. 这些干预措施减少了医院再入院和医疗保健费用,提高了生活质量.

科学领域:

心脏病学心脏病学
护理护理护理
公共卫生公共卫生

背景情况:

心力衰竭 (HF) 管理需要积极的患者和家庭护理人员双向自我护理.
有效的HF自我护理策略对于改善患者的治疗结果和减少医疗负担至关重要.

研究的目的:

系统地审查和元分析二次自我护理干预措施对心力衰竭管理中的患者结果的影响.
综合有关患者和家庭护理人员参与的干预措施有效性的证据.

主要方法:

进行全面的数据库搜索 (PubMed,Embase等). 进行到2024年5月14日.
遵循PRISMA指南,使用Cochrane风险偏见工具进行质量评估.
使用Review Manager 5.4进行数据分析,包括20项研究 (18项RCT,2项准实验),涉及3,266名患者和3,091名护理人员.

主要成果:

双干预显著改善了患者自我护理维护 (MD:9.07) 和管理 (MD:5.03).
自我照顾的信心和生活质量显示了短期到中期的改善.
干预措施导致再入院率和医疗保健成本降低,但对死亡率,焦虑或抑郁症没有显著影响.

结论:

二次性自我护理干预措施有效地减少心力衰竭的再入院和改善生活质量.
临床实践应该考虑实施这些干预措施,重点是持续支持.
未来的研究应该探讨长期结果,成本效益和护理人员特定的结果.

关键词:

心脏衰竭是因为心脏衰竭.护理护理护理患者和非正式的护理人员.审查和元分析.

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