教育干预对妊娠相关恶心和呕吐妇女生活质量的影响:系统综述。

IF 1.7 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Mahsa Piri, Azam Maleki, Omid Saed
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引用次数: 0

摘要

目的:本研究旨在确定教育干预对改善妊娠相关恶心和呕吐(NVP)妇女生活质量(QOL)的影响:本研究旨在通过系统综述确定教育干预对改善妊娠相关恶心和呕吐(NVP)妇女生活质量(QOL)的影响:本系统综述遵循标准的系统综述和元分析首选报告项目(PRISMA)清单指南。采用英文电子数据库来确定 2000 年至 2023 年 8 月 14 日发表的相关研究。采用的搜索策略基于 Mesh 浏览器关键词和自由文本词。使用 Cochrane 协作组织的偏倚风险评估工具对研究的偏倚风险进行评估,并使用漏斗图及 Begg 和 Egger 检验对发表偏倚进行评估。研究的异质性采用 I2 和 tau-squared 检验进行评估。数据使用 RevMan 5 软件进行分析。随机效应荟萃分析的结果采用标准平均差和 95% 置信区间 (CI) 表示:在七项随机临床/对照试验(RCT)研究(共纳入 946 名受试者)中,有五项研究的结果具有显著性,表明干预措施对患有 NVP 的妇女的 QOL 具有统计学意义上的显著影响,另有两项研究的结果不具有显著性。根据生活质量测量的类型进行了分组分析。4篇文章(妊娠恶心呕吐生活质量,NVPQOL)共335名受试者的汇总标准化平均差(SMD)为-2.91,CI为-4.72至-1.11,P值=0.002,I2=97.2%。三篇文章(SF36)共611名受试者的汇总SMD为-0.05,CI为-0.23至-0.12,P值=.550,I2=10%:分析的总体结果表明,教育干预对经历过 NVP 的妇女的 QOL 有轻微的积极影响。然而,为了得出更好的结论,建议开展样本量更大、随访时间更长的进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of educational intervention on the quality of life of women suffering from pregnancy-related nausea and vomiting: a systematic review.

Objective: The present study aimed to determine the influence of educational interventions on improving the quality of life (QOL) of women suffering from pregnancy-related nausea and vomiting (NVP) as a systematic review.

Methods: The current systematic review followed the standard Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist guideline. The English electronic databases were used to identify relevant studies published 2000 until 14 August 2023. The search strategies employed were based on Mesh browser keywords and free-text words. The study risk of bias was evaluated using the Cochrane Collaboration's tool for assessing the risk of bias tools and publication bias was evaluated using a funnel plot and Begg and Egger tests. The heterogeneity of the studies was evaluated using I2 and tau-squared tests. Data were analyzed using the RevMan 5 software. Results of the random-effects meta-analysis were presented using the standard mean difference, along with a 95% confidence interval (CI).

Results: Out of the seven randomized clinical/control trial (RCT) studies with a total of 946 subjects included in the review, five studies reported a significant result, indicating that the interventions had a statistically significant effect on the QOL of women suffering NVP and in two studies did not have a significant result. A subgroup analysis was done based on the type of quality-of-life measurements. The pooled standardized mean difference (SMD) of four articles (Nausea and Vomiting Pregnancy Quality of Life, NVPQOL) with a total of 335 subjects was -2.91, and CI of -4.72 to -1.11, p value = .002, I2 = 97.2%. The pooled SMD of three articles (SF36) with a total of 611 subjects was -0.05, and CI of -0.23 to -0.12, p value = .550, I2 = 10%.

Conclusions: The overall results of the analysis indicated that educational intervention had a small positive impact on the QOL of women experiencing NVP. However, to draw a better conclusion, it is recommended to conduct further studies with larger sample sizes and longer follow-up periods.

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来源期刊
CiteScore
4.40
自引率
0.00%
发文量
217
审稿时长
2-3 weeks
期刊介绍: The official journal of The European Association of Perinatal Medicine, The Federation of Asia and Oceania Perinatal Societies and The International Society of Perinatal Obstetricians. The journal publishes a wide range of peer-reviewed research on the obstetric, medical, genetic, mental health and surgical complications of pregnancy and their effects on the mother, fetus and neonate. Research on audit, evaluation and clinical care in maternal-fetal and perinatal medicine is also featured.
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