基于理论的自我管理,以改善中风幸存者的血压控制:系统性审查和元分析
Anchalee Ngamvitroj1, Sararin Pitthayapong1, Teerapon Dhippayom2
1Srisavarindhira Thai Red Cross Institute of Nursing, Bangkok, Thailand.
概括
在中风幸存者中,自我管理干预有效控制血压 (BP). 然而,随着时间的推移,降低血压的效果会减弱,因此需要进一步研究二次中风预防.
科学领域:
- 心血管医学 心血管医学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 有效的血压控制对于治疗中风后的患者至关重要.
- 有限证据表明,自我管理干预措施对该群体的BP控制的好处有限.
研究的目的:
- 评估自我管理干预措施对中风幸存者的血压控制的有效性.
- 使用元分析方法来综合相关研究的发现.
主要方法:
- 在主要数据库 (PubMed,EMBASE,CINAHL,CENTRAL,ProQuest) 进行了全面的文献搜索,截至2025年1月.
- 包括随机对照试验 (RCT),评估在中风后患者中血压的自我管理干预措施.
- 使用Cochrane风险偏差工具 (RoB 2) 评估研究质量,并使用随机效应模型分析数据.
主要成果:
- 包括18项试验,5435名参与者;所有研究都存在一些偏见风险.
- 与对照组相比,自我管理干预措施显著降低了心缩压 (SBP) 和腹缩压 (DBP).
- 在 ≤ 6 个月 (MD -7.99 mmHg) 和 > 6 个月 (MD -3.93 mmHg) 的试验中,SBP 降低更为明显.
结论:
- 自主管理干预措施在改善中风幸存者的血压控制方面表现出有效性.
- 对血压控制的积极影响似乎随着时间的推移而减弱.
- 进一步的研究是必不可少的,以证实自我管理在二次中风预防中的长期作用.
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