The effectiveness of different interventions in post-percutaneous coronary intervention patients with kinesiophobia: a network Meta-analysis
10.3760/cma.j.cn211501-20240102-00005
- VernacularTitle:不同干预措施对经皮冠状动脉介入术后患者运动恐惧干预效果的网状Meta分析
- Author:
Lili HAO
1
;
Yanqiu MA
;
Zhengtao ZHANG
;
Baofeng LIANG
;
Tiane FA
Author Information
1. 天津市胸科医院护理部，天津 300222
- Keywords:
Percutaneous coronary intervention;
Kinesiophobia;
Network Meta-analysis
- From:
Chinese Journal of Practical Nursing
2024;40(20):1542-1549
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of different interventions in post-percutaneous coronary intervention (PCI) patients with kinesiophobia using network Meta-analysis.Methods:Computerized search of randomized controlled trials and quasi-experiment related to kinesiophobia interventions for post-PCI patients in WanFang database, China National Knowledge Infrastructure, China Biology Medicine, VIP database, Web of Science, PubMed, Cochrane Library and Embase was conducted with a time frame of searching from the establishment of the library to August 3, 2023. Literature screening, data extraction and literature quality evaluation were carried out independently by two researchers. Network Meta-analysis was performed using Stata 17.0 software.Results:A total of 13 literatures were included, including 9 randomized controlled trials and 4 quasi-experiments.Network Meta-analysis showed that cognitive behavioral therapy ( SMD = -4.08, 95% CI -6.49 --1.67), cognitive behavioral therapy combined with cardiac rehabilitation ( SMD = - 3.02, 95% CI -5.43 -- 0.61), dual heart medical intervention ( SMD = - 2.48, 95% , - 4.87 - - 0.09) can reduce the level of exercise fear in patients after PCI, and the difference were statistically significant compared with routine nursing (all P< 0.05). Ranked probability plots showed that the effects of the nine interventions in reducing kinesiophobia in post-PCI patients were cognitive behavioral therapy, cognitive behavioral therapy combined with cardiac rehabilitation, adaptive leadership theory-based intervention, dual heart medical intervention, COX health behavior interaction model, health education based on the behavioral change wheel, graded exposure therapy, mindfulness intervention, and high-intensity interval training in descending order of effectiveness. Conclusions:Cognitive behavioral therapy was the most effective intervention for kinesiophobia in post-PCI patients, but more high-quality randomized controlled trials are needed to further verify this conclusion.
