心力衰竭患者的症状感知干预措施的有效性:系统性审查和元分析
Xiangyu Wang1,2, Guangju Wang1,2, Yichen Liu1,2
1Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, China.
Frontiers in cardiovascular medicine
|March 12, 2026
概括
症状感知干预改善了心力衰竭患者的自我护理和生活质量,但并没有减少住院治疗或死亡率. 这些发现为改进未来的干预策略提供了洞察力.
科学领域:
- 心脏病学 心脏病学
- 健康心理学 心理健康心理学
- 基于证据的医学基于证据的医学.
背景情况:
- 症状感知干预措施有望改善心力衰竭 (HF) 患者的生活质量.
- 缺乏关于这些干预措施对HF临床结果的有效性的定量数据.
- 这一元分析系统地评估了症状感知干预措施对HF患者结果的影响.
研究的目的:
- 确定症状感知干预措施对HF患者症状感知的影响 (主要结果).
- 评估对二次结果的影响,包括自我护理,HF知识,自我护理有效性,生活质量,再住院,急诊室访问和死亡率.
- 提供现有研究对高频的症状感知干预措施的定量综合.
主要方法:
- 在PubMed,Embase,Cochrane图书馆和CINAHL的系统文献搜索,截至2025年3月31日.
- 包括随机对照试验 (RCT),评估HF患者的症状感知干预措施.
- 使用STATA 17.0进行元分析,并使用ROB2.0评估偏差风险.
主要成果:
- 八个RCT包括1030名患者被纳入了分析.
- 干预措施没有显著减少再住院,急诊室访问或死亡率.
- 在症状感知 (SMD: 0.579),自我护理 (SMD: 0.697),HF知识 (SMD: 1.481),自我护理有效性 (MD: 7.875) 和生活质量 (MD: -8.240) 中观察到显著改善.
结论:
- 症状感知干预措施有效地提高了HF患者的症状感知,自我护理,知识,疗效和生活质量.
- 目前,这些干预措施没有显著影响到减少再住院,急诊室访问或死亡率.
- 这些发现支持优化症状感知干预策略,用于未来的研究和心力衰竭管理中的临床应用.
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