护理干预对肺结核患者的效果:系统回顾与meta分析。

IF 2.3 4区 医学 Q2 NURSING
Nursing Open Pub Date : 2025-06-01 DOI:10.1002/nop2.70242
Yumei Yan, Xue Bai
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引用次数: 0

摘要

目的:本综述旨在评价护理干预对肺结核患者各种临床结局的有效性。设计:对随机对照试验和观察性研究进行系统回顾和荟萃分析。方法:检索截至2023年6月的PubMed、Cochrane Library和Web of Science数据库。如果研究评估了肺结核患者的护理干预措施并报告了特定的结果,则纳入研究。采用随机效应模型提取数据并进行分析,采用Cochran’s Q检验和I2统计量评估异质性。结果:纳入16项研究。护理干预显著改善了结核病药物依从性(OR = 3.601, 95% CI: 2.366 ~ 5.481)和心理功能(SMD = 2.080, 95% CI: 0.502 ~ 3.658)。社会功能和满意度也有显著改善(SMD = 2.649, 95% CI: 1.496-3.802;Or = 4.943, 95% ci: 2.265-10.786)。焦虑(SMD = -2.728, 95% CI: -4.354至-1.102)和抑郁(SMD = -1.389, 95% CI: -2.706至-0.072)显著减少。干预组阴性痰转换率较高(OR = 4.943, 95% CI: 2.265 ~ 10.786),药物不良反应发生率较低(OR = 0.259, 95% CI: 0.099 ~ 0.680)。患者或公众捐款:没有患者或公众捐款。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effectiveness of Nursing Care Intervention for Patients With Pulmonary Tuberculosis: A Systematic Review and Meta-Analysis.

Effectiveness of Nursing Care Intervention for Patients With Pulmonary Tuberculosis: A Systematic Review and Meta-Analysis.

Effectiveness of Nursing Care Intervention for Patients With Pulmonary Tuberculosis: A Systematic Review and Meta-Analysis.

Effectiveness of Nursing Care Intervention for Patients With Pulmonary Tuberculosis: A Systematic Review and Meta-Analysis.

Aim: This review aimed to evaluate the effectiveness of nursing care interventions on various clinical outcomes in patients with pulmonary TB.

Design: Systematic review and meta-analysis of randomised controlled trials and observational studies.

Methods: Databases searched included PubMed, Cochrane Library and Web of Science, up to June 2023. Studies were included if they evaluated nursing care interventions for pulmonary TB patients and reported on the specified outcomes. Data were extracted and analysed using a random-effects model, and heterogeneity was assessed using Cochran's Q test and I2 statistics.

Results: Sixteen studies were included. Nursing care interventions significantly improved compliance to TB medications (OR = 3.601, 95% CI: 2.366-5.481) and psychological function (SMD = 2.080, 95% CI: 0.502-3.658). Social function and satisfaction also showed significant improvements (SMD = 2.649, 95% CI: 1.496-3.802; OR = 4.943, 95% CI: 2.265-10.786). There was a notable reduction in anxiety (SMD = -2.728, 95% CI: -4.354 to -1.102) and depression (SMD = -1.389, 95% CI: -2.706 to -0.072). Negative sputum conversion rates were higher in the intervention group (OR = 4.943, 95% CI: 2.265-10.786), and the incidence of adverse drug reactions was lower (OR = 0.259, 95% CI: 0.099-0.680).

Patient or public contribution: No patient or public contribution.

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来源期刊
Nursing Open
Nursing Open Nursing-General Nursing
CiteScore
3.60
自引率
4.30%
发文量
298
审稿时长
17 weeks
期刊介绍: Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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