俱乐部式健康教育对慢性病患者生活质量影响的Meta分析

Meta analysis of impact of clubstyle health education on quality of life of patients with chronic diseases

目的系统性评价俱乐部模式健康教育对慢性病患者生活质量影响的效果。方法通过计算机检索Cochrane、PubMed、Web of Science、CNKI、CBM、万方、维普等数据库,查找对慢性病患者开展俱乐部模式健康教育及效果评价的随机对照试验,提取有效数据,用RevMan 5.3对结果进行Meta分析。结果最终共纳入6篇高质量文献,共1 331名研究对象。Meta分析结果显示,相比常规健康教育方式,俱乐部模式健康教育能明显改善患者的血生化指标(SMD=-1.45,P<0.00001),提高患者的医学应对方式(SMD=0.06,P<0.00001),对于慢性病患者生存质量也有提升(SMD=-0.70,P>0.05)。结论相比常规健康教育方式,对慢性病患者采取俱乐部式健康教育方式能有效提高其血生化指标、医学应对能力及生存质量,值得推广。

Objective To systematically evaluate the effect of club model health education on the quality of life of patients with chronic diseases. Methods The databases of Cochrane, PubMed, Web of Science, CNKI, CBM, Wanfang, and Weipu were searched by computer to find the randomized controlled trials of club model health education and effect evaluation for patients with chronic diseases. The effective data were extracted and a Meta analysis was performed with RevMan 5.3.Results A total of 6 high-quality papers were included, with a total of 1331 objects. The Meta-analysis results showed that the club-style health education could significantly improve the patients’ blood biochemical indicators(SMD=-1.45, P<0.00001) and improve the patients’ medical coping styles(SMD=0.06, P<0.00001) compared with the conventional health education methods. For patients with chronic diseases, the quality of life also improved(SMD=-0.70, P> 0.05). Conclusion Compared with the conventional health education method, the club-style health education for patients with chronic diseases can effectively improve their blood biochemical indicators, medical coping ability and quality of life, and it is worth promoting.