Effects of different TCM-based nursing techniques on post-stroke sleep disorders:a network Meta-analysis
10.3969/j.issn.1671-8283.2024.11.007
- VernacularTitle:不同中医护理技术干预卒中后睡眠障碍效果的网状Meta分析
- Author:
Yang ZHANG
1
;
Menghao YANG
;
Li YAO
;
Xianmei WANG
;
Ying GU
;
Zhiyan LIU
Author Information
1. 贵州医科大学护理学院,贵州贵阳,550025
- Publication Type:Journal Article
- Keywords:
traditional Chinese medicine-based nursing techniques;
stroke;
post-stroke sleep disorder;
network Meta-analysis
- From:
Modern Clinical Nursing
2024;23(11):46-53
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of different nursing techniques of traditional Chinese medicine (TCM) on post-stroke sleep disorders (PSSD). Methods A systematic search for RCTs(randomized controlled trial) on effects of TCM-based nursing techniques was conducted online through the databases of CNKI,WanFang Data,VIP Data,CBM,PubMed,The Cochrane Library and EMBASE from the inception of the databases to December 2022. Two reviewers independently screened the retrieved literature,assessed the risk of bias in the included studies,and extracted relevant data. A network meta-analysis was then performed using Stata 17.0 software to analyse the data. Results A total of 11 RCTs involving 962 stroke patients cared with 8 TCM-based nursing techniques were included. The 8 techniques comprised acupoint massage,Guasha+auricular acupoint pressing,acupoint plaster therapy,moxibustion,Tuina,five elements music+auricular acupoint pressing,auricular acupoint pressing,and routine nursing care. The regular meta-analysis demonstrated that the therapeutic effects of the 7 nursing techniques relieved PSSD of the patients[OR=3.18,95％CI (2.15,4.70),P<0.001]. The best probability ranking of the therapeutic effects showed by network meta-analysis was:acupoint massage>Guasha+auricular acupoint pressing>acupoint plaster therapy>moxibustion>Tuina>five elements music+auricular acupoint pressing>auricular acupoint pressing>routine care. Conclusion Acupoint massage is recommend as a priority option to alleviate the symptoms of PSSD. Further high-quality studies are necessary to verify this conclusion due to the limitations on quality and quantity of the included RCTs.
