摘要
目的系统评价健康教育对我国高血压患者服药依从性的影响，为卫生决策提供依据。方法计算机检索CBM、CNKI、WanFangData和VIP数据库，收集健康教育对我国高血压患者服药依从性影响的随机对照试验（RCT），检索时限为1998—2013年。由2位研究者根据纳入与排除标准独立筛选文献、提取资料和评价纳入研究的方法学质量后，采用Stata10．0软件进行异质性检验，并使用WinBUGS14软件进行贝叶斯Meta分析。结果最终纳入19个RCT，共3751例患者。贝叶斯Meta分析结果显示，健康教育组的高血压患者服药依从性优于对照组，其差异有统计学意义[OR=4．46，95％CI（3．698，5．358）]。结论健康教育可明显提高我国高血压患者的服药依从性。
Objective To systematically review the influence of health education on medicine-taking compliance of hypertensive patients, so as to provide scientific evidence for health decision-making. Methods Literature search was performed in CBM, CNKI, WanFang Data and VIP databases to collect randomized controlled trials （RCTs） published between 1998 and 2013 concerning the effect of health education on medicine-taking compliance of hypertensive patients. Two reviewers independently screened the literature according to the inclusion and exclusion criteria, extracted the data, assessed the methodological quality of included studies, and then conducted Bayesian meta-analysis using WinBUGS 14 software after heterogeneity-test by using Stata 10.0 software. Results A total of 19 RCTs involving 3 751 participants were included. The results of Bayesian meta-analysis showed that the health education group was superior to the control group in medicine-taking compliance with a significant difference （OR=4.46, 95%CI 3.698 to 5.358）. Conclusion Health education could enhance the medicine-taking compliance of Chinese hypertension patients significantly.
出处
《中国循证医学杂志》
CSCD
2014年第2期211-215,共5页
Chinese Journal of Evidence-based Medicine
基金
国家自然科学基金项目"老年人健康管理效果评价模型构建及应用研究"(编号:81273189)
关键词
高血压
服药依从性
健康教育
贝叶斯Meta分析
随机对照试验
Hypertension
Medicine-taking compliance
Health education
Bayesian Meta-analysis
Randomized controlled trial
