目的：探讨电话随访对心脏瓣膜置换术后患者遵医行为的影响。方法计算机检索万方、维普和CNKI等中文数据库，全面收集有关电话随访对心脏瓣膜置换术后患者遵医行为影响的临床对照试验，汇总数据采用RevMan 5.1.6进行分析，两组之间差异采用优势比（odds ratio，OR）及其95％可信区间（95％ confidence interval，95％CI）描述。结果严格根据纳入和排除标准，最终纳入4个对照试验，包括424名心脏瓣膜置换患者，对其中216例观察组患者出院时做常规出院指导并在出院后进行电话随访，而对照组208例患者只在出院时做常规出院指导并嘱其遵医嘱按时复诊。 Meta分析结果表明：观察组遵医率显著优于对照组，其中包括遵医用药（OR＝13.72，95％CI＝6.25～30.09，P＜0.001），定期复查（OR＝12.38，95％CI＝6.57～23.32，P＜0.001），合理饮食（OR＝10.25，95％CI＝5.06～20.76，P＜0.001），功能锻炼（OR＝10.51，95％CI＝5.61～19.70，P＜0.001），主动咨询（OR＝16.52，95％CI＝7.95～34.35，P＜0.001）。结论电话随访可显著改善心脏瓣膜置换术后患者的遵医行为，满足患者的健康需求。%Objective To explore the influence of telephone follow-up on treatment compliance of patients underwent valve re-placement by conducting a meta-analysis.Methods Data collection of relevant clinical controlled trials were selected from Wan-Fang,CNKI and VIP databases.Data analysis was conducted by RevMan 5.1.6 software.Results were described as odds ratio (OR) with 95%confidence intervals ( CI) .Results According to inclusion criteria ,4 diagnosis tests were retrieved ,including 424 patients underwent valve replacement ,216 patients were divided into experimental group and 208 patients in control group.Meta-analysis re-sults showed that there are statistically significant differences between observation group and control group ,which including medicine taking as doctors'suggestions(OR=13.72,95%CI=6.25~30.09,P<0.001),regular reexamination(OR=12.38,95%CI=6.57~23.32,P<0.001),reasonable diet(OR=10.25,95%CI=5.06~20.76,P<0.001),functional training(OR=10.51,95%CI=5.61~19.70,P<0.001),consultation(OR=16.52,95%CI=7.95~34.35,P<0.001).Conclusion The education conduc-ted in patients underwent valve replacement through telephone follow -up could help to improve the treatment compliance.
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