移动医疗对癫痫患儿居家护理干预效果的Meta分析-现代医学

移动医疗对癫痫患儿居家护理干预效果的Meta分析

单位：南京医科大学附属儿童医院神经内科, 江苏南京 210000

分类号：R742.1； R473.74

出版年·卷·期（页码）：2024·52·第七期（1102-1109）

摘要：

目的：采用Meta分析方法评价移动医疗干预对癫痫患儿居家护理干预效果的影响。方法：计算机检索Pubmed、Web of Science、Embase、Cochrane Library、中国期刊全文数据库(CNKI)、维普、万方和中国生物医学文献服务系统，检索时限为从建库至2024年1月1日。纳入移动医疗干预对癫痫患儿居家护理干预效果的随机对照试验。由2名研究者独立进行文献筛选、资料提取、文献质量评价后，采用RevMan 5.4进行Meta分析。结果：共纳入9篇文献，包括945例患者。Meta分析结果显示，与对照组相比，基于移动医疗的护理干预模式能够有效改善癫痫患儿的服药依从性(MD=3.55,95%CI 2.30~5.47,P<0.001) 、生活质量(MD=6.22，95%CI 3.03~9.40,P<0.001)以及家庭疾病管理水平(MD=-4.54，95%CI -5.72~-3.36，P<0.001)，但并未明显提高癫痫患儿的癫痫知识(MD=-0.03，95%CI -0.15~0.09, P=0.59)。结论：基于移动医疗的护理干预模式能够有效改善癫痫患儿的服药依从性、生活质量与家庭疾病管理水平，但对于增加其癫痫知识并未有明显改善。

Objective: To evaluate the effectiveness of the mobile health intervention on home care for children with epilepsy. Methods: A systematic search of PubMed, Web of Science, Embase, Cochrane Library, CNKI, VIP, WanFang Data and CBM was carried out to collect randomized controlled trials of mobile health intervention on home care in children with epilepsy from the establishment of the database to January 1,2024. Two researchers independently screened the literature, extracted data and evaluated the literature quality. Meta-analysis was performed using RevMan 5.4. Results: A total of 9 randomized controlled studies were included, involving 945 children with epilepsy. Meta-analysis showed that nursing intervention model based on mobile health could effectively improve medication adherence in children with epilepsy(MD=3.55, 95%CI 2.30-5.47, P<0.001), quality of life(MD=6.22, 95%CI 3.03-9.40, P<0.001) and family disease management level(MD=-4.54, 95%CI-5.72--3.36, P<0.001), However, the knowledge of epilepsy in children with epilepsy was not significantly improved(MD=-0.03，95%CI-0.15 -0.09, P=0.59). Conclusion: The nursing intervention model based on mobile health can effectively improve the medication adherence, quality of life and family disease management level of children with epilepsy, but it does not significantly improve their knowledge of epilepsy.

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