移动医疗对髋/膝关节置换患者术后康复效果的Meta分析
Meta-analysis of the effects of mobile healthcare on postoperative rehabilitation in patients with hip/knee arthroplasty
相裕华 1边令梓 2贾国安 1董静 1季红3
作者信息
- 1. 山东第一医科大学(山东省医学科学院)护理学院,山东济南 271016
- 2. 山东第二医科大学护理学院,山东潍坊 261053
- 3. 山东第一医科大学第一附属医院(山东省千佛山医院)护理部,山东济南 250013
- 折叠
摘要
目的 系统评价移动医疗在髋/膝关节置换患者术后康复中的应用效果.方法 计算机检索中国知网、万方、维普、SinoMed、PubMed、Web of Science、Embase、The Cochrane Library数据库中移动医疗在髋/膝关节置换患者术后康复中应用的随机对照试验和非随机对照试验,检索时限为建库至2023年10月1日.采用RevMan 5.4软件进行Meta分析.结果 最终纳入19篇文献,共2 190例患者.Meta分析表明,移动医疗可以降低患者WOMAC骨关节炎指数评分(MD=-4.10,95%CI:-5.97～-2.22,P<0.001),提高Harris髋关节功能评分(MD=4.31,95%CI:3.04～5.58,P<0.001),提高生活质量(SMD=0.34,95%CI:0.18～0.51,P<0.001),增加关节伸展度(MD=0.30,95%CI:0.20～0.40,P<0.001),提升日常生活活动能力(SMD=0.89,95%CI:0.39～1.38,P<0.001),但在疼痛(SMD=0.09,95%CI:-0.10～0.29,P=0.34)及关节屈曲度(MD=0.98,95%CI:-1.53～3.49,P=0.45)改善方面,差异无统计学意义.结论 移动医疗可以改善髋/膝关节置换术后患者的关节功能、关节伸展度,提高生活质量、日常生活活动能力,但对患者疼痛及关节屈曲度的影响尚不明确,还需高质量研究进行验证.
Abstract
Objective To systematically evaluate the application effect of mobile healthcare in the postoperative re-habilitation of patients with hip/knee arthroplasty.Methods PubMed,Web of Science,The Cochrane Library,Em-base,CNKI,VIP,SinoMed and WanFang database were searched for randomized controlled trials and non-randomized controlled trials of the use of mobile healthcare in postoperative rehabilitation of patients with hip/knee arthroplasty.The re-trieval time was from the establishment of the database to October 1,2023.Meta-analysis was performed using RevMan 5.4 software.Results A total of 19 articles including 2 190 patients were analyzed.Meta-analysis showed that mobile healthcare could reduce WOMAC score(MD=-4.10,95%CI:-5.97--2.22,P<0.001),improve HHS score(MD=4.31,95%CI:3.04-5.58,P<0.001),and improve quality of life(SMD=0.34,95%CI:0.18-0.51,P<0.001),in-crease joint extension(MD=0.30,95%CI:0.20-0.40,P<0.001),improve activities of daily living(SMD=0.89,95%CI:0.39-1.38,P<0.001),there was no statistically significant difference in the improvement of pain(SMD=0.09,95%CI:-0.10-0.29,P=0.34)and joint flexion(MD=0.98,95%CI:-1.53-3.49,P=0.45).Conclusion Mobile health-care can improve joint function,joint extension,quality of life,and ability of daily living in patients after hip/knee arthro-plasty,but the effect on pain and joint flexion is still unclear,and high-quality studies are still needed to verify it.
关键词
髋关节置换/膝关节置换/移动医疗/康复/护理/Meta分析Key words
hip replacement/knee replacement/mobile healthcare/rehabilitation/nursing/meta-analysis引用本文复制引用
基金项目
山东省研究型医院协会科研项目(2022018)
出版年
2024
NETL
NSTL
万方数据