电话随访对心脏瓣膜置换术后患者抗凝治疗依从性影响的Meta分析

发布时间：2018-06-29 20:21

本文选题：心脏瓣膜假体植入 + 抗凝药　；参考：《中国全科医学》2017年32期

【摘要】：目的系统评价电话随访改善心脏瓣膜置换术后患者抗凝治疗依从性的效果,为心脏瓣膜置换术后出院患者的延伸服务提供一定的理论依据。方法在线检索PubMed/Medline、OVID、EBSCO、EMBase、CINAHL、Cochrane Library、中国知网、万方数据知识服务平台、维普中文期刊服务平台、中国生物医学文献数据库,各数据库建库起始至2016年10月,有关电话随访对心脏瓣膜置换术后患者抗凝治疗依从性影响的随机/半随机对照试验和/或临床对照试验。对文献进行数据资料提取和质量评价,采用RevMan 5.3软件进行Meta分析。结果共纳入11篇文献。Meta分析结果显示,试验组遵医用药依从性得分及人数比例、定期复查依从性得分和人数比例、合理饮食依从性得分和人数比例、自我监测依从性得分和人数比例、功能锻炼和主动咨询人数比例均较对照组升高(P0.05);试验组出血发生率、栓塞发生率、心内膜感染率均较对照组降低(P0.05)。结论电话随访能够明显改善心脏瓣膜置换术后患者抗凝治疗的依从性,减少出血、栓塞等并发症的发生,且方便、经济、快捷,值得推广和应用。但由于相关研究较少,今后尚需更多设计严格的大样本随机对照试验以进一步增加证据的说服力。
[Abstract]:Objective to evaluate the effect of telephone follow-up to improve the compliance of anticoagulant therapy in patients with cardiac valve replacement, and to provide a theoretical basis for the extended service of patients discharged from hospital after cardiac valve replacement. Methods online search of PubMedR / Medline (EBSCO), CINAHLCochrane Library, Wanfang data knowledge Service platform, Weipu Chinese Journal Service platform, Chinese Biomedical Literature Database, each database was carried out from October 2016 to October 2016. A randomized / semi-randomized controlled trial and / or a clinical controlled trial about the effect of telephone follow-up on anticoagulant compliance in patients with cardiac valve replacement. Data extraction and quality evaluation of literature were carried out, and Meta-analysis was carried out by Revman 5.3 software. Results A total of 11 literatures were included. The results of Meta analysis showed that the scores of compliance and the proportion of the number of patients in the trial group, the scores of compliance and the proportion of the number of people, the scores of reasonable diet compliance and the proportion of the number of people in the trial group were reviewed regularly. The scores of self-monitoring compliance, the proportion of active counseling and functional exercise were higher than those of the control group (P0.05); the incidence of hemorrhage, embolism and endocardial infection in the experimental group were lower than those in the control group (P0.05). Conclusion telephone follow-up can obviously improve the compliance of anticoagulant therapy, reduce the occurrence of complications such as bleeding and embolism, and is convenient, economical, rapid and worthy of popularization and application. However, due to the lack of relevant studies, more rigorous randomized controlled trials with large samples should be designed in order to further enhance the evidence.
【作者单位】：蚌埠医学院护理学院;四川大学华西临床医学院;
【分类号】：R473.6

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