脑卒中患者自我管理影响因素的Meta分析OA

Objective To systematically evaluate the current status of stroke patients' self-management and its influencing fac-tors,and to provide a scientific basis for the design and implementation of stroke patients' self-management intervention programs sub-sequently.Methods The databases of CNKI,CQVIP,WanFang Data,CBM,PubMed,Web of Science,Cochrane Library,CINAHL and Embase were comprehensively and systematically searched from inception to December 2023 for included observational studies reporting influencing factors of self-management in stroke patients.Two researchers screened the literature and performed quality e-valuation and data extraction.Stata 17.0 was used for Meta-Aanalysis using radom-effects models.Results 25 studies were includ-ed,among which 23 were Cross-sectional studies and the other two were Longitudinal studies.Altogether,11290 patients were stud-ied,and 30 associated factors of self-management were reported.Meta-analysis showed that age(OR=0.774,95％CI 0.560～1.069),place of residence(OR=0.879,95％CI 0.754～1.026),primary caregiver(OR=0.501,95％CI 0.174～1.442),educa-tion level(OR=0.404,95％CI 0.324～0.502),marital status(OR=0.673,95％CI 0.536～0.844),monthly income per capita(OR=0.236,95％CI 0.096～0.578),Self-efficacy(OR=0.372,95％CI 0.243～0.569),stroke knowledge level(OR=0.317,95％CI 0.258～0.389),soCIal suppORt(OR=0.532,95％CI 0.342～0.826),ability of daily activities(OR=0.413,95％CI 0.245～0.697),and combination of other diseases(OR=0.827,95％CI 0.783～0.875)are the influencing factors of self-manage-ment level of stroke patients.Conclusion This meta-analysis revealed that education level,marital status,per capita monthly income of households,self-efficacy,stroke knowledge level,social support,combination of other diseases and ability of daily activities were the influencing factors of the self-management level of stroke patients.Health professionals should formulate intervention strategies ac-cording to the influencing factors to improve the self-management level of stroke patients.