护理学报2017，Vol.24Issue(15)：6-12,7.DOI:10.16460/j.issn1008-9969.2017.15.006
高血压患者群组干预管理模式的效果Meta分析
Effectiveness of Group Intervention in Patients with Hypertension:A Meta-analysis
摘要
Abstract
Objective To review the effectiveness of group intervention in patients with hypertension. Methods We searched the Cochrane Library, The Joanna Briggs Institute Library, PubMed, Ovid, Springer, Web of Science, Medline, CNKI, CBM, Wanfang and VIP database to collect randomized controlled trials (RCTs) regarding group intervention in adult patients with hypertension. Retrieval time for literatures was from the establishment of the database to April 15th 2016. Two researchers worked independently to select the literature and make quality assessment, then Meta analysis was conducted with RevMan 5.3. Results 12 studies were included.The results of meta-analysis were shown below.There were obvious improvement of the average decrease of systolic blood pressure and diastolic blood pressure in the group intervention groups when compared with that in the control groups ( MD=-4.12, 95%CI:-5.49~-2.74,P<0.01;MD=-1.79, 95%CI:-2.18~-1.39, P<0.01).There were better medication compliance in the group intervention groups than that in the control groups (OR=1.32,95%CI:1.04~1.67,P=0.02). Self-efficacy of physical activity,managing symptom and managing disease in the group intervention groups were significantly better than those in the control groups ( MD=0.41,95%CI:0.16~0.67,P<0.01;MD=0.59, 95%CI:0.19~0.98,P<0.01; MD=0.52, 95%CI:0.40~0.65, P<0.01). Conclusion Group intervention can significantly decrease blood pressure, improve the medication compliance and self-efficacy in patients with hypertension.关键词
高血压/群组干预/血压/依从性/自我效能/Meta分析Key words
hypertension/group intervention/blood pressure/compliance/self-efficacy/Meta-analysis分类
医药卫生引用本文复制引用
张永红,田金徽,张彩云,张志刚,杨丽平,靳苗苗..高血压患者群组干预管理模式的效果Meta分析[J].护理学报,2017,24(15):6-12,7.基金项目
甘肃省卫生行业科研计划项目(GSWSKY-2015-86) （GSWSKY-2015-86）
