Effects of self-management interventions in adults with acute coronary syndrome: A systematic review and meta-analysis of randomized controlled trials.

Revista de salud publica (Bogota, Colombia) Pub Date : 2023-03-01 eCollection Date: 2023-04-01 DOI:10.15446/rsap.V25n2.106585

Roxana De Las Salas, Lorena Isabel Velasco-Banquet, Elizabeth Villarreal-Cantillo, Marta Palmet-Jiménez

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Abstract

Objective: The aim of this study is to determine the effects of self-management interventions in adults with Acute Coronary Syndrome.

Methods: Systematic review and meta-analysis. The Prisma checklist was used. Embase via Ovid, Lilacs, Medline via PubMed and Central were searched for randomized controlled trials. The Cochrane collaboration guidelines were followed and reported using the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (Prisma) statement. The Revman program was used to consolidate the data. A sensitivity analysis was carried out.

Results: A total of 17 randomized controlled trials met eligibility criteria. The results showed that self-management interventions did not significantly enhance patients' compliance with medication OR=1.32 (95% CI 0.66-2.64), lifestyle changes OR=1.08 (95% CI 0.55-2.15) and modification of clinical variables MD=-1.77 (95% CI -2.96 6.50).

Conclusion: This review suggests that there are no statistically significant differences between self-management interventions and the usual care given to patients with Acute Coronary Syndrome Compliance with Pharmacological Treatment, lifestyle changes and Changes in Clinical Variables.

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自我管理干预对成人急性冠脉综合征的影响：随机对照试验的系统回顾和荟萃分析。

目的：本研究的目的是确定自我管理干预对成人急性冠脉综合征的影响。方法：系统评价和荟萃分析。使用Prisma检查表。Embase通过Ovid， Lilacs， Medline通过PubMed和Central检索随机对照试验。遵循Cochrane合作指南，并使用系统评价和meta分析首选报告项目（Prisma）声明进行报告。利用Revman程序对数据进行整理。进行敏感性分析。结果：共有17项随机对照试验符合入选标准。结果显示，自我管理干预并没有显著提高患者服药依从性OR=1.32 (95% CI 0.66-2.64)，生活方式改变OR=1.08 (95% CI 0.55-2.15)，临床变量修改MD=-1.77 （95% CI -2.96 6.50）。结论：本综述提示急性冠状动脉综合征患者自我管理干预与常规护理在药物治疗依从性、生活方式改变及临床变量变化方面无统计学差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista de salud publica (Bogota, Colombia)

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