{"title":"过渡护理对胰腺炎患者生活质量影响的meta分析","authors":"Xiaojin Pu, Yuanyunzi Wang, Lingjie Jiang, Xiaoqin Liu, Wence Zhou","doi":"10.3760/CMA.J.CN211501-20190404-00878","DOIUrl":null,"url":null,"abstract":"Objective \nTo evaluate the effect of transitional care on the quality of life of patients with pancreatitis. \n \n \nMethods \nWe searched the following databases such as PubMed, Web of Science, Cochrane Library, CNKI, CBM, and WanFang Data electronically. Other sources as applying were also retrieved. Comprehensive collection of continuing care on the quality of life in patients with pancreatitis related research. According to the evaluation method of Cochrane system, the quality evaluation and data extraction were carried out, and the RevMan 5.3 software was used for Meta analysis. \n \n \nResults \nA total of 21 randomized controlled trials involving 1 818 patients (910/908) were included. SF-36 health survey scale, analysis of 8 Meta subgroups showed that all groups P<0.05, and the combined effect was statistically significant. The results of the intervention with telephone as the main outcome indicator were: maintaining a regular lifestyle [weight mean difference (WMD) value was 4.33, 95% confidence interval (CI)2.52-7.44, P<0.01], quitting smoking and drinking (WMD value was 5.95, 95%CI 3.69-9.59, P<0.01), maintaining a healthy diet (WMD value was 8.62, 95%CI 5.07-9.59, P<0.01). Continuous nursing based on telephone intervention can reduce the recurrence rate (WMD value was 0.20, 95%CI 0.13-0.31, P<0.01). Meta-analysis based on the intervention of establishing archives for continuous nursing showed that WMD value was 0.25, 95%CI 0.12-0.52, P<0.01, and archives and telephone showed that WMD value was 0.24, 95%CI 0.09-0.63, P=0.004, and the combined effect was statistically significant. \n \n \nConclusions \nContinuous nursing can improve the quality of life of patients with pancreatitis, improve the compliance with medical advice, and reduce the recurrence rate, but it needs to be further verified by a large sample, high-quality, multi-centered randomized controlled trial. \n \n \nKey words: \nTransitional care; Pancreatitis; Quality of life; Meta analysis","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"11 1","pages":"713-721"},"PeriodicalIF":0.0000,"publicationDate":"2020-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Meta-analysis of the effect of transitional care on quality of life in patients with pancreatitis\",\"authors\":\"Xiaojin Pu, Yuanyunzi Wang, Lingjie Jiang, Xiaoqin Liu, Wence Zhou\",\"doi\":\"10.3760/CMA.J.CN211501-20190404-00878\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo evaluate the effect of transitional care on the quality of life of patients with pancreatitis. \\n \\n \\nMethods \\nWe searched the following databases such as PubMed, Web of Science, Cochrane Library, CNKI, CBM, and WanFang Data electronically. Other sources as applying were also retrieved. Comprehensive collection of continuing care on the quality of life in patients with pancreatitis related research. According to the evaluation method of Cochrane system, the quality evaluation and data extraction were carried out, and the RevMan 5.3 software was used for Meta analysis. \\n \\n \\nResults \\nA total of 21 randomized controlled trials involving 1 818 patients (910/908) were included. SF-36 health survey scale, analysis of 8 Meta subgroups showed that all groups P<0.05, and the combined effect was statistically significant. The results of the intervention with telephone as the main outcome indicator were: maintaining a regular lifestyle [weight mean difference (WMD) value was 4.33, 95% confidence interval (CI)2.52-7.44, P<0.01], quitting smoking and drinking (WMD value was 5.95, 95%CI 3.69-9.59, P<0.01), maintaining a healthy diet (WMD value was 8.62, 95%CI 5.07-9.59, P<0.01). Continuous nursing based on telephone intervention can reduce the recurrence rate (WMD value was 0.20, 95%CI 0.13-0.31, P<0.01). Meta-analysis based on the intervention of establishing archives for continuous nursing showed that WMD value was 0.25, 95%CI 0.12-0.52, P<0.01, and archives and telephone showed that WMD value was 0.24, 95%CI 0.09-0.63, P=0.004, and the combined effect was statistically significant. \\n \\n \\nConclusions \\nContinuous nursing can improve the quality of life of patients with pancreatitis, improve the compliance with medical advice, and reduce the recurrence rate, but it needs to be further verified by a large sample, high-quality, multi-centered randomized controlled trial. \\n \\n \\nKey words: \\nTransitional care; Pancreatitis; Quality of life; Meta analysis\",\"PeriodicalId\":22999,\"journal\":{\"name\":\"The Journal of practical nursing\",\"volume\":\"11 1\",\"pages\":\"713-721\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-03-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal of practical nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.CN211501-20190404-00878\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of practical nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.CN211501-20190404-00878","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Meta-analysis of the effect of transitional care on quality of life in patients with pancreatitis
Objective
To evaluate the effect of transitional care on the quality of life of patients with pancreatitis.
Methods
We searched the following databases such as PubMed, Web of Science, Cochrane Library, CNKI, CBM, and WanFang Data electronically. Other sources as applying were also retrieved. Comprehensive collection of continuing care on the quality of life in patients with pancreatitis related research. According to the evaluation method of Cochrane system, the quality evaluation and data extraction were carried out, and the RevMan 5.3 software was used for Meta analysis.
Results
A total of 21 randomized controlled trials involving 1 818 patients (910/908) were included. SF-36 health survey scale, analysis of 8 Meta subgroups showed that all groups P<0.05, and the combined effect was statistically significant. The results of the intervention with telephone as the main outcome indicator were: maintaining a regular lifestyle [weight mean difference (WMD) value was 4.33, 95% confidence interval (CI)2.52-7.44, P<0.01], quitting smoking and drinking (WMD value was 5.95, 95%CI 3.69-9.59, P<0.01), maintaining a healthy diet (WMD value was 8.62, 95%CI 5.07-9.59, P<0.01). Continuous nursing based on telephone intervention can reduce the recurrence rate (WMD value was 0.20, 95%CI 0.13-0.31, P<0.01). Meta-analysis based on the intervention of establishing archives for continuous nursing showed that WMD value was 0.25, 95%CI 0.12-0.52, P<0.01, and archives and telephone showed that WMD value was 0.24, 95%CI 0.09-0.63, P=0.004, and the combined effect was statistically significant.
Conclusions
Continuous nursing can improve the quality of life of patients with pancreatitis, improve the compliance with medical advice, and reduce the recurrence rate, but it needs to be further verified by a large sample, high-quality, multi-centered randomized controlled trial.
Key words:
Transitional care; Pancreatitis; Quality of life; Meta analysis
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