| 杨秋霞,马玉霞,贺娅楠,王晨霞,韩琳.动机性访谈对高血压患者干预效果的Meta分析[J].上海护理,2020,20(12): |
| 动机性访谈对高血压患者干预效果的Meta分析 |
| Intervention effect of motivational interviewing on patients with hypertension: A Meta-analysis |
| DOI： |
| 中文关键词: 动机性访谈 高血压患者 血压 自我效能 生活质量 服药依从性 Meta分析 |
| 英文关键词:Motivational interview hypertension patients blood pressure self-efficacy quality of life medication compliance Meta analysis |
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| 中文摘要: |
| 摘要: 目的 系统评价动机性访谈（motivational interviewing,MI）对高血压患者的干预效果，为临床干预提供依据。方法 检索万方数据库、中国知网（CNKI）数据库、维普期刊数据库（VIP）、中国生物医学文献数据库（CBM）、Cochrane library 、PubMed、Embase及Web of Science数据库，收集动机性访谈对高血压患者干预的随机对照试验（randomized controlled trial, RCT）,检索时限为数据库建库至2019年6月。采用RevMan 5.3软件进行Meta分析。结果 共纳入13篇文献，Meta分析显示，动机性访谈可降低患者的收缩压[随机效应模型，WMD=-2.56mmHg,95%CI(-3.57,-1.55),p<0.01],舒张压[固定效应模型，WMD=-0.89mmHg,95%CI(-1.51,-0.27)，p<0.01]；提高患者的自我效能[随机效应模型WMD=2.52,95%CI（1.56,3.47),p<0.01]、生活质量[随机效应模型，WMD=6.99，95%CI(3.25，10.74)，p<0.01]、服药依从性 [随机效应模型，OR=4.30,95%CI(1.53,12.10)，p<0.01]。结论 动机性访谈能够降低高血压患者的血压，提高自我效能、生活质量、服药依从性。 |
| 英文摘要: |
| [Abstract] Objective to systematically evaluate the intervention effect of motivational interviewing (MI) on patients with hypertension, so as to provide basis for clinical intervention. Methods Wanfang database, CNKI database, VIP database, CBM, Cochrane Library, PubMed, EMBASE and web of science database were searched to collect randomized controlled trials (RCTs) of motivational interviews on hypertension patients, The retrieval time limit is from the database establishment to June 2019. Revman 5.3 software was used for meta analysis. Results A total of 13 articles were included, Meta analysis showed that motivational interviewing can reduce systolic blood pressure[Random effect model WMD=-2.56mmHg,95%CI(-3.57,-1.55),p<0.01]，diastolic pressure[Fixed effect modelWMD=-0.89mmHg,
95%CI(-1.51,-0.27)，p<0.01],Improve self-efficacy of patients[Random effect model WMD=2.52,95%CI（1.56,3.47),p<0.01],Quality of life
[Random effect model WMD=6.99，95%CI(3.25，10.74)，p<0.01],Medication compliance[Random effect modelOR=4.30,95%CI(1.53,12.1
0)，p<0.01]. Conclusion Motivational interview can reduce blood pressure, improve self-efficacy, quality of life and medication compliance. |
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