自我管理对持续非卧床腹膜透析患者健康状况影响的系统评价

Effect of self-management on health status in patients with continuous ambulatory peritoneal dialysis:A systematic review

目的系统评价自我管理对持续非卧床腹膜透析患者健康状况的影响。方法检索PubMed、Science Direct、Ovid、Cochrane Library、维普中文科技期刊数据库及中国期刊全文数据库等数据库中发表的自我管理对持续非卧床腹膜透析患者健康状况影响的研究。采用RevMan 5.0统计软件包进行Meta分析。结果共纳入9篇文献。Meta分析显示:自我管理对持续非卧床腹膜透析患者体质量、血压及白蛋白的影响均具有统计学意义(P<0.01或P<0.05)。结论自我管理可改善持续非卧床腹膜透析患者的容量及营养状况。

Objective To systematically evaluate the effect of self - management on health status in patients with continuous ambulatory peritoneal dialysis （CAPD）. Methods The studies related to self - management on health status in patients with CAPD were searched by the databases of PubMed, Science Direct, Ovid, Cochrane Library, Chinese Science and Technology Periodical Databases（ VIP）, China National Knowledge Infrastructure （CNKI）, et al. Date were analyzed with RevMan 5.0 software. Results Nine studies were included in the study. The results of Meta - analysis revealed that self - management could significantly reduce the body weight, blood pressure and serum albumin （ P 〈 0.01 or P 〈 0.05 ）. Conclusion Volume and nutrition status of CAPD patients can be improved by self- management.