“互联网+”护理对心肌梗死PCI术后患者效果Meta分析

Meta-Analysis of the Effect of"Internet+"Nursing on Patients with Myocardial Infarction After PCI

目的通过Meta分析“互联网+”护理模式对心肌梗死PCI术后患者的影响。方法检索中文文献库:中国知网数据库、万方数据库、维普资讯;英文文献库:PubMed、Web of Science、ProQuest、ScienceDirect中有关心肌梗死PCI术后患者与“互联网+”护理模式的文献,时间范围为建库以来至2023年10月1日。将符合纳入标准与排除标准的文献数据整理汇总,使用RevMan 5.4软件进行Meta分析,系统化评价“互联网+”护理模式对心肌梗死PCI术后康复患者的影响。对于连续性变量计算出MD值以及95%CI,对于二分类变量计算出OR值以及95%CI。结果共纳入中文文献6篇,英文文献2篇,包括了总共2211例心肌梗死PCI术后的患者。Meta分析结果显示,相比较于传统的护理模式,“互联网+”护理可有效降低患者急性心肌梗死PCI术后再发心绞痛(OR 0.33,95%CI 0.16~0.65,P<0.01)、再发心力衰竭(OR 0.40,95%CI 0.2~0.55,P<0.01)和再发心肌梗死(OR 0.30,95%CI 0.10~0.89,P=0.03)的风险。此外,“互联网+”护理的方法还可显著缓解患者的焦虑情绪,其合并效应量为(MD-7.89,95%CI-14.78~-1.00)。结论“互联网+”护理模式对心肌梗死PCI术后患者有积极影响。

Objective Using Meta-analyze to explore the effect of"Internet+"nursing mode on patients with myocardial infarction after PCI.Methods Chinese literature databases and English literature database were searched.Using RevMan 5.4 software to systematically evaluate the impact of"Internet+"nursing mode on patients recovering from PCI.The MD value and 95%CI are calculated for the continuous variable and the OR value and 95%CI are calculated for the binary variable.Results A total of 6 Chinese papers and 2 English papers were included,and 2211 subjects included in our study.Meta analysis results showed that compared with the traditional nursing mode,"Internet+"nursing can effectively reduce the risk of recurrent angina pectoris(OR 0.33,95%CI 0.16 to 0.65,P<0.01),recurrent heart failure(OR 0.40,95%CI 0.2 to 0.55,P<0.01)and recurrent myocardial infarction(OR 0.30,95%CI 0.10 to 0.89,P=0.03)after PCI in patients with acute myocardial infarction.In addition,the"Internet+"nursing method can also significantly alleviate the anxiety of patients,and its combined effect amount is(MD-7.89,95%CI-14.78 to-1.00).Conclusions"Internet+"nursing mode has a positive effect on patients with myocardial infarction after PCI.