谭明琼,卞薇.自我管理项目对老年黄斑变性患者健康结局的系统评价[J].上海护理,2019,19(1):
自我管理项目对老年黄斑变性患者健康结局的系统评价
Effectiveness of Self-management in patients with senile macular degeneration: a systematic review
DOI:
中文关键词:  老年性黄斑变性  自我管理  健康结局  系统评价
英文关键词:senile macular degeneration  self-management  health outcomes  systematic review
基金项目:重庆市技术创新与应用示范(社会民生类)项目(cstc2018jscx-msyb0129);第三军医大学第一附属医院青年创新项目(编号:SWH2015QN04)
作者单位E-mail
谭明琼 陆军军医大学(第三军医大学)第一附属医院 499285564@qq.com 
卞薇* 陆军军医大学(第三军医大学)第一附属医院 664091353@qq.com 
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中文摘要:
      【摘要】 目的 评价自我管理项目对老年性黄斑变性(AMD)患者健康结局的影响。 方法 计算机检索Cochrane library、Pubmed、EMbase、CINAHL、CBM 、CNKI、万方等中英文数据库,搜集符合纳入排除标准的随机对照试验,进行文献质量评价后,采用 RevMan5.3进行数据分析。 结果 此次研究共纳入8项随机对照试验,Meta分析结果显示:自我管理项目对老年性黄斑变性(AMD)患者自我效能感、生活质量、日常生活职能、社会支持指数、抑郁指数及情绪状态均有明显改善,差异具有统计学意义(p<0.01或p<0.05)。结论 自我管理项目对AMD患者是一种有效的健康促进策略,让患者实现一种更为独立的生活方式。
英文摘要:
      【Abstract】 Objective To evaluate the effectiveness of self-management in patients with senile macular degeneration. Methods Randomized clinical trials(RCTs)that assessed the effectiveness of peer support in patients with AMD were selected in multiple electronic databases. RevMan5.3 software was used to analyze the data after quality assessment,and data extraction were made for eligible RCTs. Results A total of 8 RCTs were included. The results of meta-analysis showed the self-management could significantly relieve depression and improve the self-efficacy﹑quality of life﹑daily occupation﹑Social Support Index﹑emotional states(p<0.01 or p<0.05). Conclusion Self-management program is an effective health promotion strategy for AMD patients,Let patients to achieve a more independent life.
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