动机性访谈式延伸护理对脑卒中患者康复效果的Meta分析

Meta-Analysis of the Rehabilitation Effect of Motivational Interview Type Continuing Nursing on Patients with Stroke

目的:系统评价动机性访谈式延伸护理对脑卒中患者的康复效果。方法:计算机检索中国知网(CNKI)、万方(WanFang)、中国生物医学文献数据库(CBM)、维普(VIP)四个中文数据库和PubMed、Web of Science、the Cochrane Library、Embase四个英文数据库中关于动机性访谈式延伸护理对脑卒中患者康复效果的随机对照研究,检索时限为从建库2022年2月13日。由2名研究员独立进行文献检索、筛选、资料提取、质量评价,采用RevMan 5.3软件对最终所得文献进行Meta分析。结果:共纳入9篇文献,包括1011例患者。Meta分析结果显示动机性访谈时延续性护理可有效提高NIHSS评分[MD = −1.85, 95%CI (−2.07, −1.63), P < 0.00001],ADL评分[MD = −8.47, 95%CI (−10.51, −6.43), P < 0.00001]、QLI评分[MD = 2.05, 95%CI (1.66, 2.43), P < 0.00001]。结论:动机性访谈式延伸护理对脑卒中患者干预康复疗效明确,可显著促进患者神经功能的恢复,提高日常生活能力,改善生活质量。

Objective: To systematically evaluate the rehabilitation effect of motivational interview type continuing nursing for patients with stroke. Methods: Four Chinese databases, CNKI, WanFang, CBM and VIP, PubMed, Web of Science and the Cochrane, were searched by computer a randomized controlled study on the rehabilitation effect of motivational interviewing type continuing care for stroke patients in four English databases, Library and Embase, was retrieved from the database construction to February 13, 2022. Two researchers independently conducted literature retrieval, screening, data extraction and quality evaluation, and meta-analysis of the final literature was con-ducted by RevMan 5.3 software. Results: A total of 9 articles were included, including 1011 patients. Meta-analysis showed that continuous care could effectively improve NIHSS score during motiva-tional interview [MD = -1.85, 95%CI (−2.07, −1.63), P < 0.00001], ADL score [MD = −8.47, 95%CI (−10.51, −6.43), P < 0.00001], and QLI score [MD = 2.05, 95% CI (1.66, 2.43), P < 0.00001]. Conclu-sion: Motivational interview type continuous nursing has a clear therapeutic effect on the interven-tion rehabilitation of stroke patients, which can significantly improve and promote the recovery of patients’ neurological function, improve the ability of daily living, and improve the quality of life.