“双心”护理影响冠状动脉介入治疗术后患者心理状态及生存质量的Meta分析

Effect of “psycho-cardiology” nursing on mental state and quality of life of patients undergoing percutaneous coronary intervention: a Meta-analysis

关键词:  中医学  "双心"护理  冠状动脉介入治疗  焦虑  抑郁  生存质量  随机对照试验  Meta分析

Key words:  traditional Chinese medicine  "psycho-cardiology" nursing  percutaneous coronary intervention  anxiety  depression  quality of life  randomized controlled trial  Meta-analysis

摘要:

[目的] 研究旨在系统评价"双心"护理对冠状动脉介入治疗（PCI）术后患者的心理状态及生存质量的影响。[方法] 计算机检索中国知网、维普数据库、万方数据库、中国生物医学文献数据库、PubMed、Cochrane Library、Embase数据库中相关临床随机对照试验，检索时间自建库至2021年2月9日。采用Cochrance偏倚风险评估工具对纳入研究的方法学质量进行评价，采用RevMan 5.3软件对数据进行Meta分析，采用Stata 15.0软件进行发表偏倚的Egger检验。[结果] 共纳入22个随机对照试验，涉及2 625例患者。Meta分析结果显示：与常规护理相比，"双心"护理能明显减少PCI术后患者汉密尔顿抑郁量表、焦虑自评量表、抑郁自评量表评分，提高西雅图心绞痛调查量表评分，并降低主要不良心血管事件发生率。[结论] 研究表明，"双心"护理模式在改善PCI术后患者的心理状态及生存质量方面优于常规护理。但由于证据质量较低，未来尚需开展更多高质量的临床随机对照试验加以验证。

Abstract:

[Objective] To systematically evaluate the effect of "psycho-cardiology" nursing on mental state and quality of life, and of patients undergoing percutaneous coronary intervention.[Methods] Relevant clinical randomized controlled trials (RCTs) were searched in electronic databases including CNKI, VIP, Wanfang, SinoMed, PubMed, Cochrane Library, and Embase. The retrieval time was from inceptions to February 9th, 2021. The Cochrane's risk of bias tool was used to evaluate the methodological quality of the included RCTs, RevMan 5.3 software was used for Meta-analysis, and Stata 15.0 software was used to conduct the Egger test of publication bias.[Results] A total of 22 RCTs involving 2 625 patients were finally included. Meta-analysis results show that compared with conventional nursing, "psycho-cardiology" nursing can significantly reduce the scores of the Hamilton depression scale, self-rating anxiety scale, and self-rating depression scale for patients undergoing percutaneous coronary intervention, increase the score of the Seattle angina questionnaire, and reduce major adverse cardiovascular events.[Conclusion] This study showed that the "psycho-cardiology" nursing model may be better than conventional nursing in improving the mental state and quality of life of patients undergoing percutaneous coronary intervention. However, due to the low quality of evidence, more high-quality clinical RCTs are needed to verify the above conclusion.