心力衰竭患者发生口渴感危险因素的Meta分析
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v5i2.6048
Abstract
目的：系统评价心力衰竭患者发生口渴感的危险因素。方法：检索PubMed、Cochrane Library、Web of Science、EMbase、中国生物医学文献数据库(CBM)、万方数据库(Wanfang)、维普数据库(VIP)和中国知网(CNKI)数据库中有关心力衰竭患者发生口渴感危险因素的研究,检索时限均从建库至2022年4月。2名研究人员独立筛选文献、进行质量评价和数据提取,最后采用Stata15.0软件对数据进行Meta分析。结果：最终纳入9篇研究,Meta分析结果显示,性别(MD＝4.70,95%CI：3.77～5.63,I2＝99%,P＜0.001)、学历(MD＝6.43,95%CI：4.91～7.96,I2＝88%,P＜0.001)、饮食限制(MD＝1.20,95%CI：0.67～1.73,I2＝97%,P＜0.001)、心功能分级(MD＝3.30,95%CI：2.78～3.82,I2＝98%,P＜0.001)、利尿剂≥40mg/天(OR=0.83,
Keywords
心力衰竭；口渴；危险因素；Meta分析
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[2] 陈娟,赵书娥.慢性心力衰竭患者自我护理行为的研究进展[J].中华护理杂志,2015,50(03):360-364.
[3] 王华,李莹莹.慢性心力衰竭加重患者的综合管理中国专家共识2022[J].中国循环杂志,2022,37(03):215-225.
[4] 龚静欢,胡三莲,朱凌燕.心力衰竭患者口渴感的评估和干预进展[J].中华护理杂志,2020,55(04):549-553.
[5] 宣凡馨,李峥,康晓凤,等.心力衰竭患者症状群的纵向研究[J].中华护理杂志,2017,52(12):1450-1456.
[6] Waldréus N.,Jaarsma T.,van der Wal M.H.,et al.Developm
[7] 侯燕青,赵丹,李欢,等.耳穴压豆辅助无糖薄荷味口香糖对心力衰竭患者口渴症状的疗效观察[J].当代护士(中旬刊),2021,(28):63-65.
[8] 林榕,李红.危重症患者口渴的研究进展[J].中华护理杂志,2016,51(11):1348-1351.
[9] 韩遵海,何茵,鹿振辉,等.危重症患者口渴护理的研究进展[J].中华护理杂志,2021,56(05):782-785.
[10] 孙冠群,朱莎,刘国杰.心力衰竭患者口渴困扰现状及影响因素研究[J].护理学杂志,2020,35(16):25-28.
[11] Travers B.,O'Loughlin C.,Murphy N.F.,et al.Fluid restr iction in the management of decompensated heart failure:no impact on time to clinical stability[J].J Card Fail,2007,13(2):128-132.
[12] Philipson H.,Ekman I., Swedberg K., et al. A pilot study of salt and water restriction in patients with chronic heart failure[J].Scand Cardiovasc J,2010,44(4):209-214.
[13] 徐艳.慢性心衰患者饮食控制行为障碍的调查分析[Z]//徐艳.当代护士(中旬刊).2015:104-106
[14] 王蔚云,顾则娟,汤一帆,等.心力衰竭患者口渴痛苦感现状及影响因素分析[J].中华现代护理杂志,2019,(32):40-41,45.
[15] 苏倩.心力衰竭患者口渴感及其相关因素调查[Z].护理管理杂志,2014:635-637
[16] 刘梦雅.心力衰竭患者口渴困扰现状及影响因素分析[Z].大连医科大学,2021.
[17] 孙路路,梁涛,吕蓉,等.慢性心力衰竭患者液体控制依从现状调查[J].中华现代护理杂志,2013,(20):2357-2360.
[18] Eng S.H.,Jaarsma T.,Lupón J.,et al. Thirst and factors associated with frequent thirst in patients with heart failure in Spain[J].Heart Lung,2021,50(1):86-91.
[19] van der Wal M.H.L.,Waldréus N.,Jaarsma T.,et al.Thirst in Patients With Heart Failure in Sweden, the Netherlands, and Japan[J].J Cardiovasc Nurs,2020,35(1):19-25.
[20] Waldréus N., Hahn R. G., Lyngå P., et al. Changes in Thirst Intensity During Optimization of Heart Failure Medical Therapy by Nurses at the Outpatient Clinic[J].J Cardiovasc Nurs,2016,31(5) E17-24.
[21] Allida S. M., Hayward C. S., Newton P. J. Thirst in heart failure: what do we know so far? [J]. Curr Opin Support PalliatCare,2018,12(1):4-9.
[22] 朱玲,潘凌蕴,黄丽璇.肾脏科重症监护室病人口渴感的研究进展[J].全科护理,2019,17(06):670-672.
[23] 尤文璇,张琦.术后危重症患者口渴及口渴痛苦程度的现况调查分析[J].现代临床护理,2020,19(04):14-20.
[24] Reilly C.M.,Higgins M.,Smith A.,et al. Isolating the benefits of fluid restriction in patients with heart failure:a pilot study[J].European Journal of Cardiovascular Nursing, 2015,14(6):495-505.
[25] Aliti G.B.,Rabelo E.R.,Clausell N.,et al.Aggressive fluid and sodium restriction in acute decompensated heart failure: a randomized clinical trial[J].JAMA internal medicine,2013,173(12):1058-1064.
[26] Philipson H.,Ekman I.,Swedberg K.,et al. A pilot study of salt and water restriction in patients with chronic heart failure[J].Scandinavian cardiovascularjournal:SCJ,2010,44(4):209-214.
[27] 张文芳,郝艳华,田甜.心力衰竭患者口渴困扰量表的汉化及信效度研究[J].中华护理杂志,2019,54(6):957-960.
[28] Allida S.M.,Inglis S.C.,Davidson P. M.,et al. Thirst in chronic heart failure: a review[J].J Clin Nurs,2015,24(7-8):916-926.
[29] Singh A.,Mahesh M.,Agrawal A.,et al.Total external oph thalmoplegia:First clinical manifestation of Sjogren's syndrome[J].Strabismus,2019,27(4):218-222.
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