{"title":"护士主导的过渡护理对成年脑卒中幸存者出院后预后的影响：系统回顾和荟萃分析。","authors":"Nyagwaswa Athanas Michael, Lilian Teddy Mselle, Edith Mroso Tarimo, Yingjuan Cao","doi":"10.1002/nop2.70140","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effectiveness of nurse-led Transition Care (TC) on quality of life, mortality and readmission among adult stroke survivors.</p><p><strong>Design: </strong>Systematic review and meta-analysis using the Joanna Briggs Institute (JBI) methodology for systematic reviews of effectiveness.</p><p><strong>Methods: </strong>Databases were searched from 1st January 2000 to 31st December 2023. Search was done in Medline, Science Direct, Scopus, EBSCOhost, Web of Science and Cochrane Library and Central Registry of Clinical Trials. The randomised controlled trials that assessed the effectiveness of nurse-led TC for adult stroke survivors were included. The primary outcome was 1-year quality of life, whereas the secondary outcomes were mortality and readmission. Two independent reviewers performed data extraction and quality appraisal by using the JBI methodology. Random effect models and pre-specified subgroup analyses were performed using Review Manager Software Version 5.3. and STATA Version 17.</p><p><strong>Results: </strong>Of 1093 studies retrieved from database search, only 18 studies met the review inclusion criteria. The pooled results show that stroke survivors who were allocated to nurse-led TC programs had a 1-year better quality of life compared to those allocated to usual care (12 studies; SMD = 0.52; 95% CI = 0.20, 0.85; p = 0.002; I<sup>2</sup> = 94%). However, no significant differences in the odds of mortality and readmission were observed. No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70140"},"PeriodicalIF":3.1000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871394/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Effectiveness of Nurse-Led Transition Care on Post-Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta-Analysis.\",\"authors\":\"Nyagwaswa Athanas Michael, Lilian Teddy Mselle, Edith Mroso Tarimo, Yingjuan Cao\",\"doi\":\"10.1002/nop2.70140\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>To evaluate the effectiveness of nurse-led Transition Care (TC) on quality of life, mortality and readmission among adult stroke survivors.</p><p><strong>Design: </strong>Systematic review and meta-analysis using the Joanna Briggs Institute (JBI) methodology for systematic reviews of effectiveness.</p><p><strong>Methods: </strong>Databases were searched from 1st January 2000 to 31st December 2023. 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引用次数: 0
摘要
目的：评价护士主导的过渡护理（TC）对成年脑卒中幸存者生活质量、死亡率和再入院率的影响。设计：采用乔安娜布里格斯研究所（JBI）的方法对有效性进行系统评价和荟萃分析。方法：检索2000年1月1日至2023年12月31日的数据库。在Medline、Science Direct、Scopus、EBSCOhost、Web of Science和Cochrane Library以及Central Registry of Clinical Trials中进行了检索。评估护士主导的TC对成年中风幸存者有效性的随机对照试验被纳入研究。主要结局是1年生活质量，而次要结局是死亡率和再入院率。两名独立审稿人使用JBI方法进行数据提取和质量评估。随机效应模型和预先指定的亚组分析使用Review Manager Software Version 5.3进行。和STATA版本17。结果：在数据库检索到的1093项研究中，只有18项研究符合纳入标准。汇总结果显示，与分配给常规护理的中风幸存者相比，分配给护士领导的TC项目的中风幸存者有更好的1年生活质量(12项研究；smd = 0.52；95% ci = 0.20, 0.85；p = 0.002；i2 = 94%)。然而，没有观察到死亡率和再入院率的显著差异。没有病人或公众捐款。
The Effectiveness of Nurse-Led Transition Care on Post-Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta-Analysis.
Aim: To evaluate the effectiveness of nurse-led Transition Care (TC) on quality of life, mortality and readmission among adult stroke survivors.
Design: Systematic review and meta-analysis using the Joanna Briggs Institute (JBI) methodology for systematic reviews of effectiveness.
Methods: Databases were searched from 1st January 2000 to 31st December 2023. Search was done in Medline, Science Direct, Scopus, EBSCOhost, Web of Science and Cochrane Library and Central Registry of Clinical Trials. The randomised controlled trials that assessed the effectiveness of nurse-led TC for adult stroke survivors were included. The primary outcome was 1-year quality of life, whereas the secondary outcomes were mortality and readmission. Two independent reviewers performed data extraction and quality appraisal by using the JBI methodology. Random effect models and pre-specified subgroup analyses were performed using Review Manager Software Version 5.3. and STATA Version 17.
Results: Of 1093 studies retrieved from database search, only 18 studies met the review inclusion criteria. The pooled results show that stroke survivors who were allocated to nurse-led TC programs had a 1-year better quality of life compared to those allocated to usual care (12 studies; SMD = 0.52; 95% CI = 0.20, 0.85; p = 0.002; I2 = 94%). However, no significant differences in the odds of mortality and readmission were observed. No patient or public contribution.
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Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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