目的 评价我国家庭护理对高血压患者的影响.方法 检索中国学术期刊全文数据库、万方科技期刊全文数据库、维普中文科技期刊数据库,检索词为"高血压"、"家庭护理"、"家庭照护",检索式为:高血压AND(家庭护理OR家庭照护),收集家庭护理对高血压患者影响的随机对照试验,根据纳入和排除标准选取文献,提取资料并评价试验质量,采用RevMan5.0软件进行Meta分析.结果 纳入13篇随机对照试验,1 665例样本,其中干预组835例,对照组830例.分析结果显示:干预组血压[收缩压加权均数差(WMD)=-17.65,95%可信区间(CI)为(-23.90,-11.40),P＜0.00001;舒张压WMD=-10.79,95%CI为(-14.89,-6.70),P＜0.00001]、并发症发生率[RR=0.20,95%CI为(0.13,0.29),P＜0.00001]、生活质量[WMD=0.89,95%CI为(0.59,1.18),P＜0.00001]、生活方式[用药依从性RR=1.88,95%CI为(1.64,2.17),P＜0.00001;健康饮食RR=1.51,95%CI为(1.23,1.86),P＜0.00001;运动RR=1.85,95%CI为(1.49,2.29),P＜0.00001;控制体质量RR=2.07,95%CI为(1.79,2.39),P＜0.00001;自我监测血压RR=1.54,95%CI为(1.23,1.94),P=0.0002]、生化指标[三酰甘油WMD=-1.00,95%CI为(-1.71,-0.28),P=0.007;总胆固醇WMD=-0.91,95%CI(-1.27,-0.55),P＜0.00001]均优于对照组,差异有统计学意义.结论 家庭护理能够改善高血压患者的血压,提高患者生活质量,帮助患者建立健康的生活方式.%Objective To evaluate the effect of home care for patients with hypertension. Methods CNKI, Wanfang Database and VIP Database were retrieved. The searching terms were: hypertension, home care and home nurse. The searching strategy was hypertension AND ( home care OR home nurse ). Randomized controlled trials ( RCTs ) on the effect of home care for patients with hypertension were collected. Articles were selected according to inclusion and exclusion criteria. Data were extracted and the quality of experiment was assessed. Meta analysis was conducted by using RevMan 5. 0 software. Results 13 RCTs were involved into the study, including 1 665 patients, with 835 cases in the intervention group and 830 cases in the control group. The result showed that the blood pressure [ systolic blood pressure WMD = - 17.65, 95% CI ( - 23.90, -11.40), P< 0.00001; diastolic blood pressure WMD = -10.79, 95% CI ( -14.89, -6.70), P < 0. 00001 ], the incidence of complications [ RR = 0. 20, 95% CI ( 0. 13, 0. 29 ), P < 0. 00001 ], the quality of life [ WMD = 0. 89, 95% CI ( 0. 59, 1. 18 ), P < 0. 00001 ], the lifestyle [ medication adherence RR = 1. 88, 95% CI ( 1. 64, 2. 17 ), P < 0. 00001; healthy diet RR = 1. 51, 95%CI(1.23, 1.86), P<0. 00001; exercise RR = 1. 85 , 95%CI(1.49, 2.29), P<0. 00001; the body weight RR = 2. 07 , 95% CI ( 1. 79 , 2. 39 ), P < 0. 00001; self - monitoring of blood pressure RR = 1. 54, 95% CI (1.23, 1.94), P = 0.0002], biological indexes [ triglyceride WMD = -1.00, 95% CI ( -1.71, -0.28), P = 0. 007; total cholesterol WMD = - 0. 91, 95% CI ( - 1. 27 , - 0. 55 ), P < 0. 00001 ] of the intervention group were significantly better than those of the control group. Conclusion Home care can improve blood pressure and quality of life for hypertensive patients and can help them develop a healthy lifestyle.
展开▼
