{"title":"综合护理对心衰患者管理的影响：系统综述与元分析》。","authors":"Wenying Zhang, Xuezhen Wang, Xuefeng Wu, Shaomei Tang","doi":"10.1159/000540387","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Heart failure is a common chronic illness associated with high readmission rates and death. Comprehensive nursing care, management of symptoms, and psychological support are increasingly seen as critical components of successful heart failure therapy.</p><p><strong>Objective: </strong>This systematic review and meta-analysis aimed to determine the effect of comprehensive nursing care on clinical outcomes and quality of life in heart failure patients.</p><p><strong>Methods: </strong>We searched electronic databases (PubMed, PROSPERO, and Web of Science) for randomised controlled trials and observational studies on comprehensive nursing care treatments for heart failure patients. Data on readmission rates, mortality rates, and quality of life were obtained and examined.</p><p><strong>Results: </strong>A total of 693 studies satisfied the inclusion criteria. A meta-analysis found that comprehensive nursing care reduced heart failure-related readmissions considerably when compared to conventional therapy (odds ratio [OR]: 0.77; 95% CI: 0.66-0.88, p = 0.0002). There was a significant difference in all-cause mortality (OR: 0.76; 95% CI: 0.60-0.97, p = 0.03), but comprehensive treatment enhanced quality of life and functional status (standardised mean difference -0.05, 95% CI: -0.21 to 0.10, p = 0.49).</p><p><strong>Conclusion: </strong>Comprehensive nursing care improves clinical outcomes and quality of life for heart failure patients. 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Comprehensive nursing care, management of symptoms, and psychological support are increasingly seen as critical components of successful heart failure therapy.</p><p><strong>Objective: </strong>This systematic review and meta-analysis aimed to determine the effect of comprehensive nursing care on clinical outcomes and quality of life in heart failure patients.</p><p><strong>Methods: </strong>We searched electronic databases (PubMed, PROSPERO, and Web of Science) for randomised controlled trials and observational studies on comprehensive nursing care treatments for heart failure patients. Data on readmission rates, mortality rates, and quality of life were obtained and examined.</p><p><strong>Results: </strong>A total of 693 studies satisfied the inclusion criteria. A meta-analysis found that comprehensive nursing care reduced heart failure-related readmissions considerably when compared to conventional therapy (odds ratio [OR]: 0.77; 95% CI: 0.66-0.88, p = 0.0002). There was a significant difference in all-cause mortality (OR: 0.76; 95% CI: 0.60-0.97, p = 0.03), but comprehensive treatment enhanced quality of life and functional status (standardised mean difference -0.05, 95% CI: -0.21 to 0.10, p = 0.49).</p><p><strong>Conclusion: </strong>Comprehensive nursing care improves clinical outcomes and quality of life for heart failure patients. 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引用次数: 0
摘要
导言心力衰竭是一种常见的慢性疾病，再入院率和死亡率都很高。综合护理、症状管理和心理支持日益被视为成功治疗心衰的关键要素：本系统综述和荟萃分析旨在确定综合护理对心衰患者临床疗效和生活质量的影响：我们在电子数据库（Pubmed、PROSPERO 和 Web of Science）中搜索了有关心衰患者综合护理治疗的随机对照试验和观察性研究。获得并审查了有关再入院率、死亡率和生活质量的数据：结果：693 项研究符合纳入标准。荟萃分析发现，与传统疗法相比，综合护理大大降低了与心衰相关的再入院率（几率比（OR）0.77（95% CI 0.66-0.88，P =.0002）。全因死亡率有显著差异（OR 0.76（95% CI：0.60-0.97，P=.03），但综合治疗提高了生活质量和功能状态（标准化平均差-0.05，95% CI -0.21至0.10，P=.49）：综合护理可改善心衰患者的临床疗效和生活质量。这项研究强调了在常规心衰治疗方案中增加综合护理干预的必要性。
Influence of Comprehensive Nursing Care on Heart Failure Patient Management: A Systematic Review and Meta-Analysis.
Introduction: Heart failure is a common chronic illness associated with high readmission rates and death. Comprehensive nursing care, management of symptoms, and psychological support are increasingly seen as critical components of successful heart failure therapy.
Objective: This systematic review and meta-analysis aimed to determine the effect of comprehensive nursing care on clinical outcomes and quality of life in heart failure patients.
Methods: We searched electronic databases (PubMed, PROSPERO, and Web of Science) for randomised controlled trials and observational studies on comprehensive nursing care treatments for heart failure patients. Data on readmission rates, mortality rates, and quality of life were obtained and examined.
Results: A total of 693 studies satisfied the inclusion criteria. A meta-analysis found that comprehensive nursing care reduced heart failure-related readmissions considerably when compared to conventional therapy (odds ratio [OR]: 0.77; 95% CI: 0.66-0.88, p = 0.0002). There was a significant difference in all-cause mortality (OR: 0.76; 95% CI: 0.60-0.97, p = 0.03), but comprehensive treatment enhanced quality of life and functional status (standardised mean difference -0.05, 95% CI: -0.21 to 0.10, p = 0.49).
Conclusion: Comprehensive nursing care improves clinical outcomes and quality of life for heart failure patients. This study stresses the need to add comprehensive nurse interventions in normal heart failure treatment programmes.
期刊介绍：
''Cardiology'' features first reports on original clinical, preclinical and fundamental research as well as ''Novel Insights from Clinical Experience'' and topical comprehensive reviews in selected areas of cardiovascular disease. ''Editorial Comments'' provide a critical but positive evaluation of a recent article. Papers not only describe but offer critical appraisals of new developments in non-invasive and invasive diagnostic methods and in pharmacologic, nutritional and mechanical/surgical therapies. Readers are thus kept informed of current strategies in the prevention, recognition and treatment of heart disease. Special sections in a variety of subspecialty areas reinforce the journal''s value as a complete record of recent progress for all cardiologists, internists, cardiac surgeons, clinical physiologists, pharmacologists and professionals in other areas of medicine interested in current activity in cardiovascular diseases.
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