心力衰竭患者的视频教育：一项系统回顾和荟萃分析

IF 2.6 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2025-05-23 DOI:10.1016/j.hrtlng.2025.05.002

Shuri Nakao PT , Hidehiro Someko MD , Masatsugu Okamura PT, PhD , Tomohiko Kamo PT, PhD , Yasushi Tsujimoto MD, MPH , Hirofumi Ogihara PT, PhD , Shinya Sato PT, MSc , Sokichi Maniwa MD, PhD

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引用次数: 0

摘要

背景：教育对心衰（HF）患者的疾病管理至关重要。基于成人学习和自我效能理论的视频教育可以通过结合视觉和听觉信息来提高效果。目前还没有研究全面回顾视频教育对心衰患者死亡率、住院率和生活质量的影响。目的评价视频教学对改善心衰患者临床预后的效果。方法本系统评价遵循2020年PRISMA指南。我们纳入了随机对照试验，这些试验评估了视频教育结合常规护理对HF患者的有效性，并与仅接受常规护理的患者进行了比较。我们检索了Cochrane中央对照试验注册库、MEDLINE、Embase、WHO国际临床试验注册平台、ClinicalTrials.gov、PEDro和CINAHL，直到2023年12月。我们将死亡率、心衰住院率和生活质量作为主要结局。结果采用GRADE法评价证据的确定性。我们纳入了22项研究，共6614例心衰患者。与常规护理相比，视频教育对死亡率的影响的证据非常不确定(风险比0.90,95% CI 0.70至1.15；I2 = 10%；极低确定性证据)，HF住院(风险比1.10,95% CI 0.85 ~ 1.44；I2 = 14%；极低确定性证据)和生活质量(标准化平均差-0.35,95% CI -1.07至0.37；I2 = 89%；非常低确定性证据)。结论目前，在心衰的治疗中，视频教育可能不优先于现有的干预措施。

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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Video education for patients with heart failure: A systematic review and meta-analysis

Background

Education is essential for disease management in patients with Heart Failure (HF). Video education, based on adult learning and self-efficacy theories, may enhance outcomes by combining visual and auditory information. No study has comprehensively reviewed the impact of video education on mortality, HF) hospitalization, and Quality of Life (QOL) in patients with HF.

Objective

To evaluate the effectiveness of video education in improving the clinical outcomes of patients with HF.

Methods

This systematic review followed the 2020 PRISMA guidelines. We included randomized controlled trials that assessed the effectiveness of video education combined with usual care for patients with HF compared with those receiving usual care only. We searched the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, WHO International Clinical Trials Registry Platform, ClinicalTrials.gov, PEDro, and CINAHL until December 2023. We pooled data on mortality, HF hospitalization, and QOL as the primary outcomes.

Results

The certainty of evidence was evaluated by the GRADE approach. We included 22 studies with a total of 6614 patients with HF. The evidence is very uncertain about the effect of video education, compared with usual care, on mortality (risk ratio 0.90, 95 % CI 0.70 to 1.15; I² = 10 %; very low certainty evidence), HF hospitalization (risk ratio 1.10, 95 % CI 0.85 to 1.44; I² = 14 %; very low certainty evidence), and QOL (standardized mean difference -0.35, 95 % CI -1.07 to 0.37; I² = 89 %; very low certainty evidence).

Conclusion

Currently, video education may not take precedence over established interventions in the management of HF.

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来源期刊

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.