目的 系统评价健康素养对心力衰竭患者预后的影响。方法 计算机检索PubMed、The Cochrane Li-brary、Embase、Web of Science、CINAHL、中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方等中外文数据库中关于健康素养对心力衰竭患者全因死亡率、再住院率、急诊就诊率影响的文献，时限为建库至2023年4月。由2名研究者独立筛选文献、提取资料，采用纽卡斯尔—渥太华量表(NOS)对文献进行质量评估，采用RevMan5。4软件进行Meta分析。结果 共纳入13项研究，涉及14 812例研究对象。Meta分析结果显示，健康素养不足的心力衰竭患者的全因死亡率发生的风险高(RR=1。56，95%CI:1。23～1。97，P<0。01)，健康素养不足与心力衰竭患者再住院的发生有关(RR=1。12，95%CI:1。03～1。21，P<0。05)，患者急诊就诊率风险增加(RR=1。19，95%CI:1。03～1。37，P<0。05)。结论 健康素养水平不足可增加心衰患者的不良预后风险，提示医务人员应重视患者的健康素养水平管理，以改善其预后。
Meta-analysis of the effect of health literacy on the prognosis of patients with heart failure
Objective To assess the effect of health literacy on the prognosis of patients with heart failure(HF).Methods The literatures on the effects of health literacy on all-cause mortality,readmission rates and emergency depart-ment visits of HF patients in PubMed,The Cochrane Library,Embase,Web of Science,CINAHL,CNKI,China Biomed-ical Literature Database(CBM),Wanfang databases were searched by computer from inception to April 2023.Two investi-gators independently screened the studies,extracted information,and used Newcastle-Ottawa Scale(NOS)to evaluate the quality of the studies and RevMan 5.4 software was used for meta-analysis.Results A total of 13 articles were includ-ed,involving 14 812 subjects.Meta-analysis showed that HF patients with inadequate health literacy had a higher risk of all-cause mortality(RR=1.56,95%CI:1.23-1.97,P<0.01),and inadequate health literacy was also related to readmis-sion(RR=1.12,95%CI:1.03-1.21,P<0.05),the risk of emergency department visits increased(RR=1.19,95%CI:1.03-1.37,P<0.05).Conclusion Inadequate health literacy levels can increase the risk of poor prognosis in patients with HF,and caregivers should pay attention to the management of health literacy levels to improve the prognosis.
health literacyheart failureprognosismeta-analysis
万方数据
维普
