Objective:To evaluate the effect of different non-drug interventions on improving sleep quality and pain symptoms in patients after cardiac surgery by using network meta-analysis.Methods:A computer search was conducted on Chinese biomedical Literature Service System,CNKI,Wanfang Data Knowledge Service platform,Weipu Chinese Journal Full text database,PubMed,Cochrane Library,Web of Science,Embase.Randomized controlled trials of different non-pharmacological nursing interventions on sleep quality and pain in patients after cardiac surgery were collected from the database to June 2024.Two researchers independently screened the literature,extracted the data,and evaluated the risk of bias in the included studies.Stata 16 software was used to conduct a network Meta-analysis.Results:A total of 16 randomized controlled trials were included,including 1 288 patients,involving 11 interventions.The results of network Meta-analysis showed that in terms of Pittsburgh sleep quality index(PSQI),SUCRA values were ranked as follows:aerobic exercise combined with Baduanjin(99.5％),eye mask(79.0％),music combined with video therapy(63.8％),progressive muscle relaxation(60.4％),ear point pressure bean(46.8％),aerobic exercise(44.7％),cognitive behavioral therapy(31.3％),aromatherapy(22.5％),conventional care(2.0％).In terms of visual analogue scale(VAS),the ranking results of SUCRA values are as follows:Acupressure(99.8％),music therapy(78.1％),progressive muscle relaxation(60.9％),massage therapy(56.2％),eye mask(36.8％),ear point pressure bean(18.0％),routine care(0.2％).Conclusion:The current evidence shows that aerobic exercise combined with Baduanjin may be the best non-drug intervention in improving the sleep quality of patients after cardiac surgery.Acupressure may be the best non-drug intervention to relieve pain in patients after cardiac surgery.
patients after cardiac surgerynon-pharmacological interventionsleep qualitypainnetwork Meta-analysisrandomized controlled trial
NETL
NSTL
万方数据
