中医情志护理联合常规护理对冠心病患者疗效的系统评价
The effects of traditional Chinese emotion nursing combined with normal nursing on patients with coronary artery disease:a system review
目的:探讨中医情志护理联合常规护理对冠心病患者的临床和心理疗效。方法互联网搜索Cochrane图书馆、PUBMED及中国知网、万方、维普电子资源库,收集在常规护理的基础上联合中医情志护理对冠心病患者疗效的临床随机对照研究(RCT)。按纳入排除标准进行RCT的筛选、资料提取和质量评价后,采用RevMan 5.2进行Meta分析。结果归入符合要求文献达14篇,总计1164例。Meta分析结果表明:与普通常规护理相比,联合中医情志护理患者的临床总体疗效明显提高(Z=6.74,P<0.01, OR=0.21,95%CI 0.15~0.26),汉密尔顿抑郁量表(HAMD)评分显著降低(Z=8.84,P<0.01,MD=6.64,95%CI 5.11~8.18),抑郁自评量表(SDS)评分显著降低(Z=4.79, P<0.01,MD=8.21,95%CI 4.89~11.66),焦虑自评量表(SAS)评分显著降低(Z=11.15,P<0.01,MD=8.23,95%CI 6.79~9.68)。结论常规护理合并中医情志护理与冠心病的常规护理相比,患者抑郁和焦虑程度明显降低,同时临床总体疗效明显提高。但原始研究质量限制,需要更多高质量、大样本的RCT进一步论证。
更多Objective To detect the physical and psychological function of traditional Chinese emotional nursing versus normal nursing on coronary heart disease patients. Methods Searching the major clinical databases of Cochrane library, PubMed, China National Knowledge Infrastructure, Wanfang database and VIP database to collect the relevant randomized controlled trial (RCT) about routine nursing combined with traditional Chinese medicine emotion care on coronary heart disease. After study selection, assessment and data extraction for RCT according to the inclusion and exclusion criteria, Meta-analysis were performed by using the RevMan5.2 software. Results Fourteen relevant studies as much as 1 164 patients were included in the study. Compared with the normal therapy, the figures support that the Chinese medicine emotional care group had a better curative effect (Z=6.74, P<0.01, OR=0.21, 95%CI:0.15-0.26), and the score of Hamilton Depression Scale (Z=8.84, P<0.01, MD=6.64, 95%CI:5.11-8.18), Self-Rating Depression Scale (Z=4.79, P<0.01, MD=8.21, 95%CI:4.89-11.66), and Self-Rating Anxiety Scale (Z=11.15, P < 0.01, MD=8.23, 95%CI:6.79-9.68) were all significantly decreased. Conclusions Compared to the conventional nursing combined with traditional Chinese emotional nursing and coronary heart diseaseroutine nursing care, the degree of depression and anxiety in patients is decreased significantly, and the total clinical efficacy is dramatically increased. However, the original study of quality constraints, muchmore high-quality, large sample of RCT is needed for further demonstration.
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