移动医疗干预对高血压患者用药依从性影响的Meta分析

A Meta-analysis of the effects of mobile medical intervention on medication compliance in patients with hypertension

目的:采用Meta分析方法评价移动医疗干预对高血压患者用药依从性的影响。方法:计算机检索PubMed、Embase、Web of Science、The Cochrane Library、中国知网、万方和维普数据库,搜集移动医疗干预对高血压患者用药依从性影响的随机对照试验,检索时限均从2000年1月1日至2021年1月24日。由2名研究者独立筛选文献、提取资料、评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析。结果:共纳入17个研究,包括3449例患者。根据不同效应量分两类数据进行Meta分析,结果显示,在计数资料中以高血压患者良好用药依从率作为结局指标,RR=1.41,95%CI(1.32,1.50),P<0.05;在计量资料中以高血压患者用药依从性量表评分作为结局指标,SMD=0.74,95%CI(0.40,1.08),P<0.05。结论:移动医疗干预可提高高血压患者的用药依从性,有利于患者的血压控制。

Objective:To use Meta-analysis method to evaluate the effects of mobile medical intervention on medication compliance of hypertension patients.Methods:Computer search was conducted on PubMed,EMbase,Web of Science,The Cochrane Library,CNKI,WanFang Data,and VIP Data to collect randomized controlled trials focused on the effects of mobile medical treatment on medication compliance in patients with hypertension.The retrieval time was from January 1,2000 to January 24,2021.After two researchers independently screened the literature,extracted the data and evaluated the bias risk of the included study,RevMan 5.3 software was used for Meta-analysis.Results:A total of 17 studies were included,including 3449 patients.Meta-analysis results showed that the different effect sizes were analyzed by two kinds of data,and the good medication compliance rate of hypertension patients was taken as the outcome index in the count data,RR=1.41,95%CI(1.32,1.50),P<0.05;In the measurement data,medication compliance scale score of hypertensive patients was used as an outcome index,SMD=0.74,95%CI(0.40,1.08),P<0.05.Conclusion:Mobile medical mode can improve the medication compliance of patients with hypertension and is beneficial to the control of blood pressure.