首页|健康教育对子宫内膜异位症患者术后康复及生活质量的影响Meta分析

健康教育对子宫内膜异位症患者术后康复及生活质量的影响Meta分析

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目的 探讨术后实施健康教育对子宫内膜异位症患者用药依从性及生活质量的影响,帮助患者制定针对性的术后护理措施,改善其遵医行为,并有效地促进康复进程.方法 采用复合逻辑检索方式,以"子宫内膜异位症"、"内异症"、"健康教育"、"生活质量"、"Endometriosis"、"Health Education"等为检索词,对 Pubmed、Medline、EMbase、知网数据库、万方数据库和维普等数据库进行检索,并筛选子宫内膜异位症患者术后实施健康教育的随机对照研究文献.Review Manager 5.3软件进行Meta分析,以P<0.05为合并统计量有统计学意义.结果 患者健康知识知晓度评分的合并结果显示,Chi2=3.95,I2=49%,Z=14.27(P<0.001).生理维度生活质量的合并结果显示,Tau2=0.21,Chi2=13.88,df=3,I2=78%,提示合并的文献存在异质性,采用随机效应模型分析,结果显示,Z=3.53(P<0.001);患者心理维度生活质量的合并结果显示,Tau2=0.00,Chi2=1.51,df=3,I2=0%,提示合并的文献无明显的异质性.Z=7.48(P<0.001).患者用药依从性合并结果显示,Z=4.00(P<0.001),差异有统计学意义.结论 子宫内膜异位症患者术后实施健康教育,有助于提升患者对疾病认知,改善术后用药依从性,并进一步提高患者术后生活质量.
Effects of health education on postoperative rehabilitation and quality of life in patients with endometriosis:a meta-analysis
Objective To explore the effects of postoperative health education on medication compliance and quality of life in patients with endometriosis,so as to help patients formulate targeted postoperative nursing measures,improve their compliance behavior,and effectively promote the rehabilitation process.Methods A compound logistic search method was used with"endometriosis(in Chinese)","endometriosis(an abbreviation in Chinese)","health education(in Chinese)","quality of life(in Chinese)","endometriosis(in English)","health education(in English)"and so on as search terms.Pubmed,Medline,EMbase,CNKI database,Wanfang database,VIP database and other databases were searched,and randomized controlled trials on health education for patients with endometriosis after surgery were screened.Review Manager 5.3 software was used for meta-analysis.The merge statistics were statistically significant with P<0.05.Results The combined results of patients'health knowledge awareness scores showed that Z=14.27(P<0.001).The combined results of the quality of life of physical dimension showed that Tau2=0.21,Chi2=13.88,df=3,and I2=78%,suggesting that there was heterogeneity in the combined literature.The random effect model analysis showed that the result was Z=3.53(P<0.001).The combined results of the quality of life of psychological dimension showed that Tau2=0.00,Chi2=1.51,df=3,and I2=0%,suggesting that there was no significant heterogeneity in the combined literature.Z=7.48(P<0.00l).The combined results of medication compliance of patients showed that Z=4.00(P<0.001),and the difference was statistically significant.Conclusions The implementation of health education in patients with endometriosis after surgery is helpful to improve the disease cognition of patients,improve their postoperative medication compliance,and further improve the quality of life of patients after surgery.

endometriosiscompliancequality of liferehabilitation

刘馨、李明燕、张忻然

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首都医科大学附属北京友谊医院妇科,北京 100050

北京朝阳医院手术室,北京 100020

子宫内膜异位症 依从性 生活质量 康复

2024

预防医学情报杂志
中华预防医学会,四川省疾病预防控制中心

预防医学情报杂志

CSTPCD
影响因子:0.681
ISSN:1006-4028
年,卷(期):2024.40(5)
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