摘要目的:通过Meta分析评价基于网络互动平台的延伸护理在缺血性脑卒中患者中的应用效果。方法:计算机检索中国知网、万方数据库、维普网、Cochrane Library、Web of Science、PubMed、CINAHL、Embase数据库中基于网络互动平台对缺血性脑卒中患者实施延伸护理的随机对照试验，检索时限均为建库至2024年1月31日，由2名研究者按照纳入和排除标准筛选文献并提取资料，使用Cochrane手册5.1.0评估文献质量。采用R 4.3.3软件进行Meta分析。结果:共纳入13篇文献，包括1 899例患者。Meta分析结果显示，基于网络互动平台的延伸护理可以改善患者日常生活能力量表评分（ MD=9.14，95%置信区间：7.05～11.23， P<0.01），提高Fugl-Meyer运动功能评定量表评分（ MD=15.16，95%置信区间：8.93～21.40， P<0.01），改善脑卒中生活质量量表评分（ MD=15.77，95%置信区间：13.28～18.26， P<0.01）。 结论:基于网络平台的延伸护理能够改善缺血性脑卒中患者的自理能力、肢体功能和生活质量。

abstractsObjective:To evaluate the effect of extension nursing based on online interactive platforms in patients with ischemic stroke through a Meta-analysis.Methods:Randomized controlled trials on extension nursing for ischemic stroke patients through online interactive platforms were searched in databases including China National Knowledge Infrastructure, Wanfang Data, VIP, Cochrane Library, Web of Science, PubMed, CINAHL, and Embase, with a search deadline of January 31, 2024. Two researchers independently screened the literature and extracted data according to the inclusion and exclusion criteria, and the quality of the studies was assessed using the Cochrane Handbook 5.1.0. Meta-analysis was performed using R 4.3.3 software.Results:A total of 13 studies were included, involving 1 899 patients. The Meta-analysis revealed that extension nursing based on online interactive platforms significantly improved Activities of Daily Living ( MD=9.14, 95% CI: 7.05-11.23, P<0.01), Fugl-Meyer Assessment Scale scores ( MD=15.16, 95% CI: 8.93-21.40, P<0.01), and Stroke-Specific Quality of Life scores ( MD=15.77, 95% CI: 13.28-18.26, P<0.01) . Conclusions:Extension nursing based on online platforms effectively improves self-care abilities, motor function, and quality of life in patients with ischemic stroke.