协同护理模式对心内科患者自我护理能力影响的Meta分析

摘要

Abstract：Objective To evaluate the influence of collaborative care model on self-care ability of patient in department of cardiology. Methods  Randomized controlled trials that compared the influence of collaborative care model with traditional care on self-care ability of patient in department of cardiology, were searched in PubMed, Cochrane Library, Web of Science, CNKI, CBM, Wanfang database. Literature selection and data extraction were conducted according to the inclusion criteria. The quality of included studies was assessed by using Cochrane handbook for systematic reviews of intervention. Results   Totally 15 randomized controlled trials and 1966 patients were involved. Meta analysis showed that collaborative care model can improve patients self care ability［SMD=2.38, 95%CI(1.59~3.16), P0.001］, improve the ability of daily life［SMD=1.03, 95%CI(0.83~1.24), P0.001］, and LVEF［SMD=2.41, 95%CI(0.90~3.91), P=0.002］, reduce the length of inpatient time and anxiety and depression, compared with the conventional care. Conclusion   Collaborative care model can effectively improve self-care ability of patient in department of cardiology, improve cardiac function, promote the recovery.