自我管理对非住院高血压患者血压影响的Meta分析

Effect of self-management on blood pressure control of non-hospital hypertension patients： a Metaanalysis

目的评价自我管理对非住院高血压患者的效果。方法检索2005年1月—2015年12月万方、CBM、CNKI、PubMed和Medline数据库中有关非住院高血压患者自我管理干预效果研究的随机对照试验，利用RevMan5．3软件进行Meta分析。结果共纳入13项随机对照试验，结果显示，自我管理干预可有效降低非住院患者收缩压与舒张压（P〈0．01），并可提高中国版《慢性病自我管理研究测量表》中患者健康自评分数，但在改善精力、疲劳上差异并无统计学意义（P〉0．05）。结论自我管理干预对非住院高血压患者血压有改善，但在精力、疲劳方面作用不大。由于以《慢性病自我管理研究测量表》为评价工具的文献较少，结果仍需更多高质量随机对照试验验证。

Objective To evaluate the effect of self-management on blood pressure control of non- hospital hypertension patients by conducting a Meta-analysis. Methods Data were collected from WanFang, CBM, CNKI, PubMed and Medline from January 2005 to December 2015. RevMan 5.3 was used for the Meta- analysis. Results A total of 13 studies were included in Meta-analysis. The results showed that self- management program could decrease non-hospital hypertension patients＇ systolic pressure and diastolic pressure （ P 〈 0.01 ） and improve self-assessment of health score, but had no significant differences on energy and fatigue which were tested by Chinese version of chronic disease self-management questionnaire （P 〉 0. 05 ）. Conclusions Self-management can improve non-hospital patients＇ blood pressure, but it has little effect on patients＇ energy and fatigue. The results should be checked by more high quality randomized controlled trials using Chinese version of chronic disease self-management questionnaire.