在高血压妊娠障碍后预防心血管疾病的自我护理干预措施:系统性审查和元分析
Thuy D T Mai1, Sho Katsuragawa1, Annie McDougall1
1Women's, Children's and Adolescents' Health Program, Burnet Institute, Melbourne, Victoria, Australia.
概括
自理干预可以降低血压和产后高血压的风险,在妇女之前高血压障碍的怀孕 (HDP). 然而,需要更多的研究来确认它们在预防心血管疾病 (CVD) 方面的有效性.
科学领域:
- 心血管健康 心血管健康
- 妇女健康 妇女健康
- 预防医学 预防医学
背景情况:
- 患有妊娠高血压疾病 (HDP) 的妇女在晚年生活中面临患心血管疾病 (CVD) 的风险增加.
- 包括血压监测和正念在内的自我护理干预措施被认为有助于促进健康和福祉.
研究的目的:
- 评估是否自我护理干预措施可以减少心血管事件,慢性高血压和心血管疾病的风险,女性有HDP史.
主要方法:
- 在 2025 年 1 月 8 日对多个数据库 (MEDLINE,Embase,CINAHL,PsycINFO,Cochrane Library) 进行系统搜索.
- 包括随机和非随机受控试验.
- 使用随机效应模型进行元分析.
主要成果:
- 对2200名女性进行的16项研究的分析表明,自我护理干预措施可能会降低静缩和静缩血压 (低确定性证据).
- 中等确定性证据表明,自我护理干预措施可能会降低产后高血压再入院的风险.
- 没有足够的数据可用于结合心血管事件和慢性高血压的结果.
结论:
- 目前,有限的证据支持自我护理干预措施,以预防先前患有HDP的女性的心血管疾病.
- 一些自我护理策略显示出降低血压和产后高血压再入院的潜力.
- 需要更大规模,更长期的试验,重点关注心血管疾病的结果,以制定最终的建议.
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