“ 互联网＋护理 ” 的高血压患者血压控制效果 Meta 分析

Meta Analysis of the Effect of "Internet + Nursing" on Blood Pressure Control in Patients with Hypertension

摘要:

〔摘 要〕 目的：系统评价 “ 互联网＋护理 ” 对高血压患者的血压控制效果。 方法：检索中国知网、万方数据库、 维普咨询中文、超星期刊、中国期刊网中文医学数据库，检索时间为 2010 年 1 月 1 日至 2022 年 10 月 30 日。选取符 合标准、关于互联网护理干预对高血压患者血压水平影响的文献，通过 RevMan 5.3 统计软件对 “ 互联网＋护理 ” 高 血压患者的血压控制效果进行 Meta 分析。 结果：纳入 10 项研究成果，涉及高血压患者 1948 例，Meta 分析结果显示 “ 互 联网＋护理 ” 干预后的高血压患者收缩压加权均数差（WMD） = –11.48，95 % CI 为 [–14.43，–8.54]，P ＜ 0.00001； 舒张压 WMD = –6.38，效应量 95 % CI 为 [–8.95，–3.82]，P ＜ 0.00001；可认为基于互联网的高血压患者血压干预护 理效果优于常规护理。 结论：基于 “ 互联网＋护理 ” 的高血压护理模式优于常规护理，可以改善高血压患者的血压控 制水平，因此 “ 互联网＋护理 ” 的高血压护理模式是常规护理的有效补充。

Abstract:

〔Abstract〕 Objective To systematically evaluate the effect of “Internet + Nursing” on blood pressure control of hypertensive patients. Methods The Chinese medical databases of CNKI, WanFang, VIP, Superstar, and China Journal Network were retrieved, and the retrieved time is from January 1, 2010 to October 30, 2022. the retrieved literatures were selected which meet the inclusion/exclusion criteria about the impact of “Internet + Nursing” intervention on the blood pressure level of hypertension patients. The Meta-analysis of blood pressure control in hypertensive patients with “Internet + Nursing” was performed using RevMan 5.3 statistical software. Results Totally 10 research results were included, involving 1948 patients with hypertension. Meta analysis results showed that systolic blood pressure weighted mean difference (WMD) = –11.48, 95 % CI [–14.43,–8.54], P ＜ 0.00001, and diastolic blood pressure WMD = –6.38, 95 % CI [–8.95,–3.82], P ＜ 0.00001 in hypertensive patients after the “Internet + Nursing” intervention, it can be concluded that the Internet-based blood pressure intervention nursing for hypertensive patients is better than general nursing. Conclusion "Internet + Nursing" is better than normal nursing, which can improve the blood pressure control level of hypertension patients, an is an effective supplement to the normal nursing model.