摘要
目的:系统评价动机性访谈干预对心力衰竭病人自我护理影响的效果。方法:系统检索中国知网、万方数据库、中国生物医学文献数据库、Cochrane Library、PubMed、EMbase、Web of Science、CINAHL中关于动机性访谈对心力衰竭病人自我护理干预效果的随机对照试验,检索时限为建库至2024年9月。由2名经过培训的研究者独立进行文献筛选以及数据的提取、汇总和分析,采用RevMan 5.4软件进行Meta分析。结果:共纳入12篇文献,涉及937例病人;Meta分析结果显示,动机性访谈干预可以增强心力衰竭病人自我护理能力和药物治疗依从性,并降低再入院率。结论:现有证据显示,动机性访谈可以增强心力衰竭病人的自我护理能力。未来研究须进一步设计高质量、多中心及长期随访的随机对照试验以确保为心力衰竭病人的自我护理实践提供最佳证据。
Objective:To systematically evaluate the effectiveness of a motivational interviewing intervention to influence self-care in heart failure patients.Methods:Search for randomized controlled trials on the effect of motivational interviewing on self-care in heart failure patients in CNKI,WanFang Data,CBM,Cochrane library,PubMed,EMbase,Web of Science,CINAHL.The retrieval limit was from inception to September,2024.Totally 2 trained researchers independently conducted literature screening,extraction,and synthesis as well as analysis,and RevMan 5.4 was used for Meta-analysis.Results:A total of 12 articles were included,involving a total of 937 patients.Motivational interview interventions could enhance patients'self-care abilities and adherence to drug therapy,and reduced rehospitalization rates.Conclusion:Available evidence suggests that motivational interviewing could enhance the self-care of patients with heart failure.In future motivational interview studies,further design of high-quality,multicentre and long-term follow-up clinical studies is needed to ensure the best evidence for patient self-care practice.
作者
苏巧丽
赵珺瑜
李红
宋继红
方艳
SU Qiaoli;ZHAO Junyu;LI Hong;SONG Jihong;FANG Yan(Nanping First Hospital Affiliated to Fujian Medical University,Fujian 353000 China;School of Nursing,Fujian Medical University;The First Affiliated Hospital of Fujian Medical University)
出处
《循证护理》
2025年第17期3521-3527,共7页
Chinese Evidence-Based Nursing
关键词
动机性访谈
心力衰竭
自我护理
应用效果
META分析
循证护理
motivational interviewing
heart failure
self-care
application effect
Meta-analysis
evidence-based nursing
