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非药物干预对改善系统性红斑狼疮病人疲劳效果的网状Meta分析

李雨蔚 宋炜婷 李珂 王飒 乔彩彩 苗华丽

全科护理2025,Vol.23Issue(4):595-600,6.
全科护理2025,Vol.23Issue(4):595-600,6.DOI:10.12104/j.issn.1674-4748.2025.04.001

非药物干预对改善系统性红斑狼疮病人疲劳效果的网状Meta分析

Effects of non-pharmacological interventions on improving fatigue in patients with systemic lupus erythematosus:a network Meta-analysis

李雨蔚 1宋炜婷 1李珂 2王飒 3乔彩彩 3苗华丽4

作者信息

  • 1. 030619,山西中医药大学护理学院
  • 2. 475004,河南大学护理与健康学院
  • 3. 030001,山西医科大学护理学院
  • 4. 030032,山西医科大学第三医院(山西白求恩医院 山西医学科学院 同济山西医院)
  • 折叠

摘要

Abstract

Objective:Using the network Meta-analysis method to evaluate the effect of different non-pharmacological interventions on improving fatigue in patients with systemic lupus erythematosus,in order to provide reference for nursing practice to improve fatigue status in patients with systemic lupus erythematosus.Methods:Computer searches of PubMed,the Cochrane Library,ScienceDirect,Medline,Embase,CNKI,VIP Database,Wanfang Database,and China Biomedical Literature Database were conducted from database establishment to June 2024.Stata17.0 was used for a network Meta-analysis.Results:A total of 17 RCT studies were included,including 7 non-pharmacological intervention methods.The results of the network Meta-analysis showed that exercise intervention,nutritional intervention,and acupuncture therapy had better effects on improving fatigue in patients with systemic lupus erythematosus than conventional nursing(P<0.05).Among the 7 non-pharmacological interventions included,exercise intervention was superior to other interventions except for nutritional intervention(P<0.05),while nutritional intervention was superior to health education,lifestyle intervention,and psychological intervention(P<0.05).Area ranking under the cumulative ranking probability chart:exercise intervention>nutritional intervention>acupuncture therapy>percutaneous vagus nerve stimulation>health education>lifestyle intervention>psychological intervention>routine nursing.Conclusions:Based on the results of the network meta-analysis and probability ranking,in the absence of contraindications to exercise,it is recommended that the clinical preferred exercise intervention be a non-pharmacological intervention to alleviate fatigue in patients with systemic lupus erythematosus,followed by nutritional intervention or acupuncture therapy.

关键词

系统性红斑狼疮/疲劳/网状Meta分析/非药物干预

Key words

systemic lupus erythematosus/fatigue/network Meta-analysis/non-pharmacological interventions

引用本文复制引用

李雨蔚,宋炜婷,李珂,王飒,乔彩彩,苗华丽..非药物干预对改善系统性红斑狼疮病人疲劳效果的网状Meta分析[J].全科护理,2025,23(4):595-600,6.

基金项目

山西省卫生健康委科研项目,编号:2022149 ()

山西省教育厅2024年度研究生教育创新计划项目,编号:2024SJ346 ()

山西中医药大学2024年研究生创新实践项目,编号:X2024SJ023. ()

全科护理

1674-4748

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