摘要
目的采用网状Meta分析探讨不同健康教育方法对肠造口患者的干预效果,为肠造口患者选择最佳的健康教育方法提供理论依据。方法计算机检索PubMed、Web of Science、Embase、Cochrane Library、Medline、CINAHL、中国知网、中国生物医学文献数据库、维普网和万方数据库中不同健康教育方法对肠造口患者干预效果的随机对照试验(RCT),并辅以手工等其他检索方式,检索时限均为建库至2023年5月31日。提取数据并进行方法学质量评估,运用Stata 15.0软件进行网状Meta分析。结果共纳入30篇RCT,包含7种健康教育方法。网状Meta分析最佳概率排序结果显示,在提高自我护理能力方面,干预效果的优劣排序依次为个性化教育、互联网平台教育、护理路径教育、形象化教育、思维导图教育、同伴支持教育、常规健康教育;在提升造口适应水平方面,干预效果的优劣排序依次为形象化教育、互联网平台教育、同伴支持教育、常规健康教育;在改善生活质量方面,干预效果的优劣排序依次为互联网平台教育、个性化教育、同伴支持教育、常规健康教育。结论个性化教育对提高肠造口患者自我护理能力具有一定优势,形象化教育在提高患者社会适应水平方面具有一定优势,在改善生活质量方面,互联网平台教育具有一定优势。本研究可有效指引临床护理人员根据健康教育目的选择合适的健康教育方法,提高患者的健康教育效果。
Objective To explore the effects of different health education methods on patients with enterostomy using a network Meta-analysis,so as to provide a theoretical basis for patients with enterostomy to choose the health education method.Methods Randomized controlled trials(RCTs)on the effects of different health education methods in patients with enterostomy were electronically searched in PubMed,Web of Science,Embase,Cochrane Library,Medline,CINAHL,China National Knowledge Infrastructure,China Biology Medicine disc,VIP,and WanFang Data,supplemented by other manual search methods.The search period was from database establishment to May 31,2023.This study extracted data,conducted methodological quality evaluation,and used Stata 15.0 software for network Meta-analysis.Results A total of 30 RCTs were included,involving 7 health education methods.The probability ranking of the network Meta-analysis showed that in terms of enhancing self-care ability,the effects were ranked from high to low as personalized education,internet platform education,nursing pathway education,visual education,mind mapping education,peer support education,and routine health education.In terms of promoting the level of stoma adaptation,the order of effects from high to low was visual education,internet platform education,peer support education,and routine health education.In terms of improving quality of life,the order of effects from high to low was internet platform education,personalized education,peer support education,and routine health education.Conclusions Personalized education has certain advantages in enhancing the self-care ability of patients with enterostomy,visual education is advantageous in promoting the social adaptation of patients,and internet platform education has certain advantages in improving the quality of life.This study can effectively guide clinical nurses to choose appropriate health education methods based on the purpose of health education,in order to heighten the effectiveness of patient health education.
作者
苏留菊
温绣蔺
汪静容
肖倩
罗利群
Su Liuju;Wen Xiulin;Wang Jingrong;Xiao Qian;Luo Liqun(School of Nursing,Shaanxi University of Chinese Medicine,Xianyang 712046,China;Nursing Department,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Operating Room,the Second Affiliated Hospital of Air Force Medical University,Xi'an 710038,China)
出处
《中华现代护理杂志》
2024年第11期1501-1511,共11页
Chinese Journal of Modern Nursing
基金
陕西省科技攻关项目(2023-YBSF-327)
中华医学会杂志社2021—2022年护理学科研课题(CMAPH-NRG2021021)。
