护士带领远程教练对心力衰竭患者的影响:系统性审查和元分析
Research in gerontological nursing
|January 30, 2026
概括
护士领导的心力衰竭 (HF) 患者的远程教学显著改善了HF知识. 然而,与常规护理相比,它并没有显著改善焦虑,抑郁,自我护理或生活质量.
科学领域:
- 心脏病学 心脏病学
- 护理 护理 护理
- 数字健康数字健康
背景情况:
- 心力衰竭 (HF) 管理需要持续的患者支持和教育.
- 远程教练提供了远程解决方案,以提高患者的护理和参与度.
- 评估护士领导的远程教练对各种患者结果的影响对于优化HF护理策略至关重要.
研究的目的:
- 系统地审查和元分析护士领导的远程教练对心力衰竭 (HF) 患者的影响.
- 评估对焦虑,抑郁,HF知识,自我护理和生活质量的影响.
主要方法:
- 在PubMed,Cochrane图书馆,Scopus和科学网上进行系统搜索.
- 包括19个随机对照试验,共有2917名参与者.
- 随机效应模型元分析和偏差评估的RoB2工具.
主要成果:
- 护士领导的远程辅导显著改善了心力衰竭 (HF) 的知识 (SMD = 2.09,95% CI [0.26,3.91]).
- 对于抑郁症 (SMD = -0.26),焦虑症 (SMD = -0.06),自我照顾 (SMD = 0.12),或生活质量 (SMD = -0.33) 没有观察到统计学意义上的改善.
- 在大多数结果指标中 (I2 > 70%) 发现了很高的异质性.
结论:
- 护士领导的远程教学有效地提高了患者心力衰竭 (HF) 的知识.
- 目前的证据不支持护士领导的远程教练对HF患者的焦虑,抑郁,自我护理或生活质量的显著益处.
- 可能需要进一步的研究来探索最佳的远程教练策略,以全面管理高频率患者.
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