Effect of social network-based interventions on self-management and others of patients with chronic obstructive pulmonary disease:a systematic review
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摘要: 目的 评价基于患者社会网络的干预对慢性阻塞性肺疾病(COPD)患者自我管理、生活质量的影响。 方法 采用主题检索与自由检索相结合的方式,计算机检索中文数据库如中国期刊全文数据库、万方数据库、中国生物医学文献服务系统、维普数据库,以及英文数据库(The Cochrane Library、PubMed、Embase、Web of science、Proquest)中基于患者社会网络的干预措施对COPD患者自我管理、生活质量影响的随机对照试验,检索时限为建库至2019年12月。由2名研究者按照纳入和排除标准筛选文献、提取资料、并评价纳入研究的偏倚风险,然后采用RevMan 5.3进行Meta分析或进行描述性分析。 结果 共纳入10项研究,共包括967例COPD患者。Meta分析结果显示,干预组自我管理量表评分高于对照组,差异有统计学意义[SMD=1.89,95%CI(0.24,3.54),P=0.020],干预组患者生活质量优于对照组,差异有统计学意义[MD=-8.43,95%CI(-11.10,-2.77),P<0.001)]。 结论 现有证据显示,基于患者社会网络的干预对提高COPD患者自我管理能力有积极作用,有利于改善患者生活质量。由于研究设计和样本的限制,需要更多大样本研究以进一步证实。Abstract: Objective To evaluate the effect of social network-based interventions on self-management and quality of life of patients with chronic obstructive pulmonary disease(COPD). Methods We searched Chinese database(such as CNKI, Wanfang Data, CBM, VIP) and English database(The Cochrane Library, PubMed, Embase, Web of science, Proquest) for randomized clinical trials(RCTs) of social network interventions in patients with COPD. Search time was from database establishment to December 2019. Two researchers screened literature according to inclusion and exclusion criteria, extracted data and assessed the risk of bias. Then, meta-analysis and/or descriptive analysis was conduct with RevMan 5.3 software. Results A total of 10 RCTs were included in this study with enrolling 967 participants. Meta-analysis showed that the score of self-management in intervention group was higher than control group [SMD=1.89, 95% CI(0.24, 3.54), P=0.020], and the score of quality of life in control group was lower than intervention group [MD=-8.43,95% CI(-11.10,-2.77), P<0.001]. Conclusion The present evidences suggest that social network-based interventions have a positive effect on improving the self-management ability of COPD patients, as well as on improving their quality of life. Due to the limitations of study design and samples, more large sample studies are needed to make the effect more clearly.
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