延续护理对慢性阻塞性肺疾病患者生命质量影响的Meta分析

Effect of transitional care intervention on quality of life for patients with chronic obstructive pulmonary disease:a Meta-analysis

目的：系统评价延续护理干预对慢性阻塞性肺疾病（COPD）患者生命质量的影响。方法通过检索Cochrane、PubMed、Embase、中国期刊全文数据库、中国科技期刊数据库、万方数据库中对COPD患者的延续护理干预的随机对照试验，并采用Revman5.2软件进行Meta分析。结果本研究共纳入文献26篇，2443例患者。Meta分析显示延续护理能使患者COPD评估测试量表（CAT）[SMD=-2.24，95%CI（-3.52～-0.96），P＜0.01]、圣乔治呼吸疾病问卷（SGRQ）[SMD=-0.26，95%CI（-0.50～-0.02），P≤0.05]得分降低，慢性呼吸疾病问卷（CRDQ）[SMD=0.46，95%CI（0.08～0.84），P≤0.05]得分升高。结论延续护理能提高COPD患者的生命质量。

Objective To evaluate the effect of transitional care intervention on quality of life for patients with chronic obstructive pulmonary disease (COPD). Methods The Cochrane library, PubMed, Embase, Chinese biomedical literature database(CBM), Chinese scientific journals full-text database, Wanfang data were searched up to June 2015 to identify randomized controlled trials(RCTs) comparing continuity of patient care with conventional treatment.The data were analyzed using Revman 5.2 software. Results 26 RCTs involving 2 443 participants were included.The results of Meta-analysis showed continuity of care couldreduce the scores of The COPD Assessment Test [ SMD=-2.24, 95%CI=(-3.52--0.96), P<0.01],and St George′s Respiratory Questionnaire [SMD=-0.26, 95%CI(-0.50--0.02), P≤0.05], and could improve the scores of Chronic Respiratory Disease Questionnaires (SMD=0.46, 95%CI(0.08-0.84), P≤0.05)Conclusions Transitional care can improve the quality of life of patients with COPD.