自我管理干预对慢性心力衰竭患者预后影响的meta分析

Effect of self-management interventions on the prognosis of patients with chronic heart failure:a meta-analysis

目的评价自我管理干预对心力衰竭患者预后的影响。方法检索Pubmed、EMBASE、Medline、VIP、CNKI等资源,收集自我管理干预心力衰竭患者的随机对照试验,采用Stata 11.0软件进行统计处理。结果纳入文献13篇。干预组患者因心力衰竭再入院率和再入院率均显著降低,病死率无统计学差异。结论自我管理干预可以降低心力衰竭患者的因心力衰竭再入院率和再入院率。

Objective To evaluate the effect of self-management interventions on the prognosis of patients with chronic heart failure（HF）. Methods The randomised controlled trials（RCT） on self-management interventions were collected using the databases of PubMed,EMBASE,Medline,Chinese Science and Technology Periodical Databases（VIP）,China National Knowledge Infrastructure （CNKI）. Data were analyzed with Stata 11.0 software. Results Thirteen, RCTs were included in the study. The results of recta-analysis revealed that self-management interventions could significantly reduce the total incidence of hosPital readmission and the incidence of hospital readmission due to heart failure. While no significant difference was found on the mortality rate. Conclusion Self-management interventions can reduce the total incidence of hospital readmission and the incidence of hospital readmission due to heart failure.