延续性护理对原发性高血压患者血压控制效果的Meta分析

Meta-analysis of effect of continuous nursing on blood pressure control in patients with essential hypertension

目的系统评价延续性护理对原发性高血压患者血压控制的效果。方法检索中国知网、万方、维普、中国生物医药等数据库,搜集延续性护理对原发性高血压患者血压控制效果的随机对照干预研究,检索时限为2011年1月1日至2021年9月30日。按Cochrane系统评价方法,由2位评价者按照纳入与排除标准独立筛选文献、提取资料并评价纳入研究的偏倚风险,采用RevMan 5.3软件进行Meta分析。结果共纳入25篇文献,合计3182例患者。Meta分析结果显示延续性护理可显著降低原发性高血压患者收缩压的水平[MD=-12.63,95%CI(-15.25~-10.00),P<0.00001],也可显著降低原发性高血压患者舒张压的水平[MD=-8.6,95%CI(-10.19~-7.01),P<0.00001]。结论现有证据表明,延续性护理可有效控制原发性高血压患者的血压水平。

Objective To systematically evaluate the effect of continuous care on blood pressure control in patients with essential hypertension syndrome.Methods A randomized controlled intervention study on the effect of continuous care on blood pressure control in patients with essential hypertension was conducted by searching the databases of CNKI,Wanfang,Weipu,Chinese biomedicine,all searches will be conducted from January 1,2011 to September 30,2021.Based on Cochrane systematic review,RevMan 5.3 software was used for Meta-analysis after two reviewers independently screened the literature,extracted data and evaluated the bias risk of inclusion according to inclusion and exclusion criteria.Results A total of 3182 patients were included in 25 articles.The results of Meta analysis showed that continuous care improved systolic blood pressure in patients with essential hypertension[MD=-12.63,95%CI(-15.25~-10.00),P<0.00001],It also significantly lowered diastolic blood pressure in patients with essential hypertension[MD=-8.6,95%CI(-10.19~-7.01),P<0.00001].Conclusion The available evidence suggests that continuous care is effective in controlling blood pressure levels in patients with essential hypertension.