摘要
目的:系统评价Stanford A型主动脉夹层(TAAD)病人术后生活质量的影响因素,为制定相关干预措施提供依据。方法:计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献服务系统(SinoMed)、PubMed、the Cochrane Library、EMbase、CINAHL、ProQuest和APA PsycNET数据库中TAAD病人术后生活质量影响因素的相关文献。由2名研究者对其独立进行筛选、质量评价和资料提取,并归纳总结研究结果。结果:共纳入12篇文献,包括6篇横断面研究、5篇队列研究和1篇病例对照研究。年龄、术后性活动受限、睡眠质量、服药依从性、术前身体状况、运动习惯的病人因素,术前灌注不良综合征、术后创伤后应激障碍、术后短暂性神经功能障碍、术后恢复时间的疾病因素,以及手术方式、术后心脏康复的治疗因素,均可能影响TAAD病人术后的生活质量;其中年龄、手术方式及术后恢复时间与TAAD病人术后生活质量的关系尚不明确。结论:现有证据表明,受病人因素、疾病因素及治疗因素影响,TAAD病人术后生活质量处于中等偏下水平,部分影响因素尚存在争议,未来需进一步研究和探讨。
Objective:To systematically evaluate the factors influencing postoperative quality of life in Stanford type A aortic dissection(TAAD)patients and to provide a basis for the development of relevant interventions.Methods:Computerized searches were conducted for relevant literature on factors influencing postoperative quality of life in TAAD patients in the CNKI,WanFang Database,VIP,SinoMed,PubMed,the Cochrane Library,EMbase,CINAHL,ProQuest and APA PsycNET databases.They were independently screened,quality assessed and data extracted by 2 investigators,and the findings were summarised.Results:A total of 12 articles were included,including six cross-sectional studies,five cohort studies,and one case-control study.Patient factors such as age,postoperative sexual activity limitation,sleep quality,medication compliance,preoperative physical condition,exercise habits,preoperative malperfusion syndrome,postoperative post-traumatic stress disorder,postoperative transient neurological dysfunction,postoperative recovery time,as well as surgical methods and postoperative cardiac rehabilitation may affect the postoperative quality of life of TAAD patients.Among them,the relationship between age,operation mode and postoperative recovery time and postoperative quality of life in TAAD patients remained unclear.Conclusions:The available evidence suggests that the quality of life of TAAD patients after surgery is moderately low,influenced by patient factors,disease factors and treatment factors,and that some of the influencing factors are controversial and need to be further researched and investigated in the future.
作者
许良燕
孙丽军
陈媛
龚瑛
王冬雪
郑薇亮
XU Liangyan;SUN Lijun;CHEN Yuan;GONG Ying;WANG Dongxue;ZHENG Weiliang(Xiamen University Affiliated Hospital of Cardiovascular Diseases,Fujian 361004 China)
出处
《循证护理》
2024年第8期1337-1342,共6页
Chinese Evidence-Based Nursing
基金
2020年厦门市医疗卫生指导性项目,编号:3502Z20209148。
关键词
A型主动脉夹层
生活质量
影响因素
系统评价
循证护理
type A aortic dissection
quality of life
influencing factor
systematic review
evidence-based nursing
