基于奥马哈系统的延续护理应用于慢性心力衰竭患者干预效果的Meta分析

A meta-analysis on the intervention effects of the Omaha system-based continuous nursing in patients with chronic heart failure

目的系统评价基于奥马哈系统的延续护理应用于慢性心力衰竭(CHF)患者的干预效果。方法检索中国知网、维普、万方、中国生物医学文献数据库、PubMed、Web of Science、Cochrane library、Embase数据库中应用基于奥马哈系统的延续护理对CHF患者进行干预的随机对照试验,检索时限均为建库至2023年3月30日。应用RevMan 5.4软件进行Meta分析,从自我护理能力、生活质量、护理满意度和再入院率方面评价基于奥马哈系统的延续护理干预CHF患者的效果。结果共纳入7篇研究,涉及672例研究对象。Meta分析结果显示,基于奥马哈系统的延续护理可以提高CHF患者的自我护理能力[MD=11.16,95%CI(7.49,14.83),P<0.001]、生活质量[MD=25.91,95%CI(22.38,29.44),P<0.001]、护理满意度[RR=1.17,95%CI(1.06,1.29),P=0.002],降低患者的再入院率[RR=0.15,95%CI(0.04,0.66),P=0.01]。结论基于奥马哈系统的延续护理有助于CHF患者提高自我护理能力和生活质量、提升护理满意度,以及降低再入院率。

Objective To systematically review the intervention effects of the Omaha system-based continuous nursing for patients with chronic heart failure(CHF).Methods Databases including CNKI,VIP,Wanfang,China Biomedical Literature Database,PubMed,Web of Science,Cochrane Library,and Embase were searched for randomized controlled trials,in which patients with CHF had been intervened by the Omaha system-based continuous nursing,from the databases'inception to 30 March 2023.Using the RevMan 5.4 software,a meta-analysis was carried out to evaluate the effects of the Omaha system-based continuous nursing in the intervention of CHF patients in terms of self-care ability,quality of life,nursing satisfaction,and readmission rate.Results Seven studies involving 672 research subjects were included.The results of the meta-analysis showed that the Omaha system-based continuous nursing could improve CHF patients'self-care ability[MD=11.16,95%CI(7.49,14.83),P<0.001],quality of life[MD=25.91,95%CI(22.38,29.44),P<0.001],and nursing satisfaction[RR=1.17,95%CI(1.06,1.29),P=0.002],while reducing their readmission rate[RR=0.15,95%CI(0.04,0.66),P=0.01].Conclusion The Omaha system-based continuous nursing helps to enhance CHF patients'self-care abilities,quality of life,and nursing satisfaction while reducing readmission rates.