Meta-analysis of application of palliative care based on multidisciplinary cooperation in patients with heart failure
10.3760/cma.j.cn115682-20210710-03054
- VernacularTitle:基于多学科协作的缓和医疗在心力衰竭患者中应用的Meta分析
- Author:
Chen ZHANG
1
;
Haojie YANG
;
Xin LIU
;
Yule HU
;
Yanjun ZHOU
;
Tao LIANG
Author Information
1. 中国医学科学院阜外医院护理部，北京 100037
- Keywords:
Heart failure;
Palliative care;
Quality of life;
Nursing care;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2022;28(1):57-63
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the application effect of palliative care based on multidisciplinary cooperation in patients with heart failure.Methods:Randomized controlled trials of palliative care in patients with heart failure were searched by computer in PubMed, Embase, CINAHL, The Cochrane Library, China Biology Medicine disc, CNKI, Wanfang Database, VIP and other Chinese and English databases. The search time limit was from the establishment of the databases to December 31, 2020. Two researchers independently screened the literature, extracted the data and evaluated the quality. RevMan 5.4 software was used to conduct a meta-analysis of the included studies.Results:A total of 12 studies were included, including 1 402 patients. Meta-analysis results showed that compared with conventional management, palliative care based on multidisciplinary collaboration could improve quality of life of patients with heart failure ( SMD=0.72, 95% CI: 0.32-1.11, P<0.01), reduce the burden of symptoms on patients ( MD= -12.90, 95% CI: -20.25--5.54, P<0.01), and reduce depression level ( MD=-0.38, 95% CI: -3.69--0.08, P<0.05), anxiety level ( MD=-0.35, 95% CI: -0.66--0.05, P<0.05) and rehospitalization rate of patients ( RR=0.70, 95% CI: 0.57-0.86, P<0.01). There was no statistically significant difference in mortality between patients ( RR=1.02, 95% CI: 0.63-1.63, P=0.94) . Conclusions:Palliative care based on multidisciplinary collaboration can improve the quality of life of patients with heart failure, reduce the burden of symptoms, depression level and anxiety level and reduce the rehospitalization rate of patients, but it has no significant effect on reducing the mortality rate of patients. Given that palliative care is still in its infancy in China and is limited by the quality and quantity of included studies, the above conclusions need to be verified by more large-sample and high-quality studies.
