文章摘要

延续护理对冠状动脉介入术后患者用药依从性的Meta分析

作者: 1王蕾, 1曹志丹, 1胡雁真, 1王燕
1 天津中医药大学研究生院,天津 301617
通讯: 王燕 Email: 983695626@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.09.034
基金: 天津中医药大学教育教学改革研究重点课题(2016JYA04)。

摘要

目的:分析延续护理对冠状动脉介入(percutaneous coronary intervention,PCI)术后患者用药依从性的影响。方法:计算机检索中国知网,万方,维普,PubMed,Web of Science,Cochrane library,Embase及Ovid数据库中关于PCI术后患者实施延续护理的相关文献,由两名研究员分别依据纳入、排除标准,独立筛选出符合的文献,并进行文献质量评价及数据提取,用Revman5.3软件进行数据合并处理。结果:共纳入15篇文献,质量均为中等,Meta分析结果显示延续护理能提高PCI术后患者的用药依从性(RR=1.34,95%CI:1.19~1.51,P<0.01),能降低心血管不良事件发生率(RR=0.42,95%CI:0.33~0.54,P<0.01)以及再住院率(RR=0.36,95%CI:0.19~0.68,P<0.01)。结论:延续护理可以提高PCI术后患者的用药依从性,降低心血管不良事件发生率及再住院率,有一定的临床意义。
关键词: 延续护理;冠状动脉介入;用药依从性

Continuous nursing on medication adherence in patients after percutaneous coronary intervention: A Meta-analysis

Authors: 1WANG Lei, 1CAO Zhidan, 1HU Yanzhen, 1WANG Yan
1 Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China

CorrespondingAuthor: WANG Yan Email: 983695626@qq.com

Foundation: This work was supported by the Research Focus on Education and Teaching Reform of Tianjin University of Traditional Chinese Medicine, China (2016JYA04).

Abstract

Objective: To quantify the effect of continuous nursing on medication adherence in patients after percutaneous coronary intervention (PCI). Methods: Computer-researched literatures related to continuous nursing for patients after PCI in china national knowledge infrastructure (CNKI), Wanfang Datebase, Weipu, PubMed, Web of Science, Cochrane library, Embase and Ovid Database. Two researchers independently selected the conforming documents according to the inclusion and exclusion criteria, and carried out literature quality evaluation and data extraction, and combined data using Revman 5.3 software. Results: A total of 15 articles were included, and the quality was medium. The Meta-analysis showed that continuous nursing can improve the medication adherence of patients after PCI (RR=1.34, 95%CI: 1.19 to 1.51, P<0.01), reduce the incidence of cardiovascular events (RR=0.42, 95% CI 0.33 to 0.54, P<0.01) and the rate of rehospitalization (RR=0.36, 95%CI: 0.19–0.68, P<0.01). Conclusion: Continuous nursing can improve the medication adherence of patients after PCI, reduce the incidence of cardiovascular events and the rate of readmission, and have certain clinical significance.
Keywords: continuous nursing; percutaneous coronary intervention; medication adherence