| 摘要: |
| 目的:系统评价中国哮喘儿童治疗依从性的影响因素。 方法:计算机检索 the Cochrane Library、EMBase、PubMed、Web of Science、中国知网、中国生物医学文献数据库、万方数据库及维普数据库,收集有关中国哮喘儿童治疗依从性影响因素的观察性研 究,检索时间为建库至 2023 年 3 月 31 日。 由 2 名研究者独立筛选文献、提取资料并根据 JBI 循证卫生保健中心推荐的质量评价工 具进行偏倚风险评估后,采用 Stata 17. 0 和 RevMan 5. 3 软件进行 Meta 分析。 结果:纳入 30 项研究,共计 5 285 例患儿,包括 15 项 横断面研究和 15 项病例对照研究。 Meta 分析结果显示,中国哮喘儿童治疗依从率为 41. 1%,照顾者认知水平低、药物不良反应、 不良心理反应、吸入技术差是影响治疗依从性的危险因素;哮喘儿童症状严重是治疗依从性的保护因素;照顾者文化程度、患儿年 龄、经济条件、医护监督、病程、照顾者对医护人员信任度与治疗依从性无关。 结论:中国哮喘儿童治疗依从性较差,建议医护人员 针对可改善的影响因素,如照顾者认知水平低、不良心理反应、吸入技术差等制定干预措施,提高哮喘儿童治疗依从性。 |
| 关键词: 哮喘 儿童 依从性 影响因素 Meta 分析 |
| DOI：10. 13407/ j. cnki. jpp. 1672-108X. 2023. 12. 002 |
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| 基金项目:重庆市科卫联合医学科研项目,编号 2020FYYX064 |
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| Meta-Analysis of Influencing Factors of Treatment Compliance in Children with Asthma in China |
| Luo Nan, Wang Ling, Yuan Xiaoping |
| (Children’ s Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing 400014, China) |
| Abstract: |
| Objective: To systematically evaluate influencing factors of treatment compliance in children with asthma in China. Methods: The Cochrane Library, EMBase, PubMed, Web of Science, CNKI, CBM, Wanfang and VIP databases were retrieved for collecting observational studies on influencing factors of treatment compliance in children with asthma in China. The retrieval time was from the establishment of the database to Mar. 31st, 2023. Two researchers independently screened literature, extracted data, and assessed bias risks based on the quality assessment tool recommended by the Joanna Briggs Institute (JBI) Center for Evidence-Based Healthcare. Meta-analysis was performed by using Stata 17. 0 and RevMan 5. 3 software. Results: A total of 30 studies were enrolled, including 5,285 cases of children, with 15 cross-sectional studies and 15 case-control studies. Meta-analysis showed that the treatment compliance rate in children with asthma in China was 41. 1%. Factors such as low caregiver cognitive level, adverse drug reactions, adverse psychological reactions and poor inhalation technique were identified as risk factors for treatment compliance. The severity of asthma symptoms was identified as a protective factor for treatment compliance. Caregiver education level, children’ s age, economic status, medical supervision, duration of illness, and caregiver trust in clinicians and nurses were found to be unrelated to treatment compliance. Conclusion: Treatment compliance is poor in children with asthma in China, it is suggested that clinicians and nurses develop interventions targeting modifiable factors, such as low caregiver cognitive level, adverse psychological reactions and poor inhalation technique, to improve treatment compliance in children with asthma in China. |
| Key words: asthma children compliance influencing factors Meta-analysis |
