文献类型：期刊文献

中文题名：延续护理对类风湿关节炎病人疼痛程度及生活质量影响的Meta分析

英文题名：Influence of continuous nursing on pain and quality of life of patients with rheumatoid arthritis:a Meta-analysis

作者：魏万霞[1];陈霞[2];魏莲花[3];魏敏[1];沈彦萍[1];薛继红[1]

第一作者：魏万霞

机构：[1]甘肃中医药大学附属医院,甘肃730020;[2]甘肃省人民医院;[3]白银市康复医院

第一机构：甘肃中医药大学第二附属医院

年份：2022

卷号：8

期号：24

起止页码：3291

中文期刊名：循证护理

外文期刊名：Chinese Evidence-Based Nursing

语种：中文

中文关键词：类风湿关节炎;延续护理;疼痛;VAS;生活质量;Meta分析;循证护理

外文关键词：rheumatoid arthritis;continuous nursing;pain;VAS;quality of life;Meta-analysis;evidence-based nursing

摘要：目的:系统评价延续护理对类风湿关节炎病人疼痛及生活质量的影响,为改善类风湿关节炎病人护理服务质量提供理论依据。方法:计算机检索the Cochrane Library、PubMed、EMbase、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中有关延续护理应用于类风湿关节炎病人的随机对照试验,利用Cochrane风险偏倚评估工具评价并进行Meta分析。结果:纳入9项研究,涉及986例病人,Meta分析结果显示,与常规随访相比,延续护理可改善类风湿关节炎病人生活质量评分(SF-36)[MD=7.80,95%CI(5.81,9.79),P<0.000 01]、VAS疼痛评分[MD=-2.05,95%CI(-2.44,-1.66),P<0.000 01],缩短晨僵时间[MD=-15.47,95%CI(-18.35,-12.60),P<0.000 01],降低焦虑量表评分[MD=-6.87,95%CI(-8.00,-5.73),P<0.000 01]、抑郁量表评分[MD=-7.16,95%CI(-7.74,-6.57),P<0.000 01]。结论:现有证据表明,对类风湿关节炎病人出院后进行延续护理,能够缩短晨僵时间和减轻关节疼痛,使病人的焦虑和抑郁情绪得到改善,从而提高生活质量,但此结论仍需更多高质量、低风险的随机对照试验验证。
Objective:To systematically evaluate the influence of continuous nursing on pain and quality of life of patients with rheumatoid arthritis,so as to provide theoretical basis for improving the quality of nursing service for patients with rheumatoid arthritis.Methods:Randomized controlled trials on continuous nursing applied to patients with rheumatoid arthritis were searched from the Cochrane Library,PubMed,EMbase,CNKI,WanFang Database,VIP,and CBM.Cochrane Risk Bias Assessment Tool was used to evaluate and conduct Meta-analysis.Results:9 studies were included,involving 986 patients in the results of the Meta-analysis showed that,compared with routine follow-up,continuous nursing could improve SF-36 score of rheumatoid arthritis patients [MD=7.80,95%CI(5.81,9.79),P<0.000 01]and VAS score[MD=-2.05,95%CI(-2.44,-1.66),P<0.000 01];reduce morning stiffness time[MD=-15.47,95%CI(-18.35,-12.60),P<0.000 01];lower SAS score[MD=-6.87,95%CI(-8.00,-5.73),P<0.000 01]and SDS score[MD=-7.16,95%CI(-7.74,-6.57),P<0.000 01].Conclusion:Current evidence shows that continuous nursing for patients with rheumatoid arthritis after discharge can shorten the time of morning stiffness and relieve joint pain,improve their anxiety and depression,and thus improve their quality of life.However,this conclusion still needs to be verified by more high-quality,low-risk randomized controlled trials.