赋能教育对脑卒中患者康复效果的系统评价

doi:10.3761/j.issn.1672-9234.2021.12.006

摘要/Abstract

摘要：

目的系统评价赋能教育对脑卒中患者的康复效果。方法计算机检索Cochrane Library、PubMed、Embase、CINAHL Complete、中国生物医学文献数据库、中国知网、万方、维普,检索时限均为自建库至2021年7月。依据Cochrane手册5.1.0质量评价标准对纳入文献进行评价,采用RevMan 5.4软件进行系统评价。结果共纳入21项研究,2 242例患者。结果显示,与对照组相比,赋能教育能改善脑卒中患者肢体运动功能[SMD=1.24,95%CI（1.02,1.45）,P<0.001]、认知功能[SMD=2.07,95%CI（1.77,2.38）,P<0.001]、自我效能[SMD=1.32,95%CI（1.14,1.50）,P<0.001]、日常生活自理能力[SMD=1.40,95%CI（1.02,1.79）,P<0.001],自我管理能力也优于对照组（P<0.05）。结论赋能教育对脑卒中患者肢体运动功能、认知功能、自我效能、自理能力及自我管理能力具有改善作用,但该结论仍需要更多大样本、高质量随机对照试验加以验证。

关键词: 权力（心理学）, 卒中, 病人, Meta分析, 运动功能, 认知功能

Abstract:

Objective To systematically review the effects of empowerment education on rehabilitation of stroke patients. Methods A computer retrieval was conducted in Cochrane Library,PubMed,Embase,CINAHL Complete,SinoMed,CNKI,Wanfang Data and VIP Database,from their inception to July 2021. The included articles were evaluated according to the Cochrane manual 5.1.0 quality evaluation criteria,and meta-analysis was performed using RevMan 5.4 statistical software. Results A total of 21 studies involving 2 242 patients were included. The results showed that empowerment education could improve limb movement function[SMD=1.24,95%CI（1.02,1.45）,P<0.001],cognitive function[SMD=2.07,95%CI（1.77,2.38）,P<0.001],self-efficacy[SMD=1.32,95%CI（1.14,1.50）,P<0.001],and activities of daily living[SMD=1.40,95%CI（1.02,1.79）,P<0.001]. The improvement of self-management ability was also significantly better than that of the control group（P<0.05）. Conclusion Empowerment education can improve the limb movement function,cognitive function,self-efficacy,self-management and self-care ability of stroke patients,but this conclusion still needs to be verified by larger sample and more randomized controlled trials with higher quality.

Key words: Power （Psychology）, Stroke, Patients, Meta-Analysis, Movement function, Cognitive function

李施恩,李壮苗,燕文娟,池艳红,仇志琴,余梦婷. 赋能教育对脑卒中患者康复效果的系统评价[J]. 中华护理教育, 2021, 18(12): 1091-1097.

LI Shi-en,LI Zhuang-miao,YAN Wen-juan,CHI Yan-hong,QIU Zhi-qin,YU Meng-ting. The effects of empowerment education on rehabilitation in stroke patients:a meta-analysis[J]. Chinese Journal of Nursing Education, 2021, 18(12): 1091-1097.

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