出院计划对心肌梗死病人干预效果的Meta分析

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Intervention effect of discharge plan on patients with myocardial infarction： a Meta-analysis

ZHU Chenyang，CHEN Yuan，ZHANG Rongxiang，CHEN Shiqi，TIAN FengSchool of Nursing，Fujian University of Traditional Chinese Medicine，Fujian 350100 ChinaCorresponding Author  CHEN Yuan，E-mail：28837445@qq.com

Abstract Objective：To evaluate the intervention effect of discharge plans on patients with myocardial infarction through Meta-analysis.Methods：Randomized controlled trials（RCTs）on the application of discharge plans in patients with myocardial infarction were retrieved from PubMed，the Cochrane Library，Web of Science，EMbase，CINAHL，CNKI，WanFang Database，VIP，and CBM.The search time limit was from the establishment of the database to January 31，2024.Two researchers independently performed literature screening，data extraction，and quality evaluation.The RevMan 5.4 software was used for Meta-analysis.Results：A total of 12 RCTs were included，involving 1 225 patients.Meta-analysis results showed that compared with routine care，discharge planning intervention could prevent adverse cardiac events（OR=0.31，95%CI 0.20-0.48，Z=5.21，P<0.001），reduce unplanned readmission rate（OR=0.31，95%CI 0.18-0.52，Z=4.41，P<0.001），improve left ventricular ejection function（MD=4.83，95%CI 3.09-6.58，Z=5.43，P<0.001），improve self-management ability（SMD=3.46，95%CI 2.45-4.46，Z=6.71，P<0.001），and improve blood pressure，blood lipids，body mass index and quality of life.Conclusions：Existing evidence shows that the application of discharge planning in patients with myocardial infarction can help prevent adverse cardiac events，reduce the rate of unplanned readmission，improve the control of general physical indicators and left ventricular ejection function，and improve self-management ability and quality of life.

Keywords discharge plan;myocardial infarction;adverse cardiac events;unplanned readmission;left ventricular ejection function;self-management ability;Meta-analysis

摘要 目的：通过Meta分析评价出院计划对心肌梗死病人的干预效果。（剩余12175字）