背景:冠心病患者生存率的提高引发了人们对他们向成人医疗保健过渡的兴趣。尽管人们普遍同意过渡干预的重要性,支持他们的经验证据是不够的。因此,本研究旨在对青少年和青壮年成人医疗过渡干预措施进行系统评价和荟萃分析.
结果:进行了文献检索,以比较过渡干预措施与对照组的定量效果。截至2023年3月15日,在主要数据库中(CENTRAL,Embase,PubMed,WebofScience,CINAHL,吻,和KMbase),主要的临床试验登记处,与该主题相关的学术期刊网站,和灰色文献数据库。确定了十项涉及1,297名参与者的研究。过渡干预措施被证明可以有效提高疾病相关知识(对冲g=0.89,95%CI=0.29-1.48)和自我管理(对冲g=0.67,95%CI=0.38-0.95),以及减少随访损失(OR=0.41,95%CI=0.22-0.77)。每个主要结果的估计值的证据确定性很低或很低。
结论:这项研究通过证明过渡干预措施可以提高患者的疾病知识和自我管理,从而支持实施过渡干预措施。同时也促进了治疗的连续性。然而,由于针对青少年和年轻冠心病患者的过渡干预措施的现有数据仍然有限,未来结构化过渡干预措施的广泛采用可能会改变本研究的结论.
背景:URL:https://www。crd.约克。AC.英国/PROSPERO。唯一标识符:CRD42023399026。
BACKGROUND: The increased survival rate among individuals with CHD has sparked interest in their transition to adult healthcare. Although there is a general agreement on the importance of transition interventions, the empirical evidence supporting them is insufficient. Therefore, this study aimed to conduct a systematic review and meta-analysis of transition interventions for adult healthcare in adolescents and young adults.
RESULTS: A literature search was conducted for studies comparing the quantitative effects of transition interventions with control groups, published up to March 15, 2023, in major databases (CENTRAL, Embase, PubMed, Web of Science, CINAHL, KISS, and KMbase), major clinical trial registries, academic journal sites related to the topic, and grey literature databases. Ten studies involving a total of 1,297 participants were identified. Transition interventions proved effective in enhancing disease-related knowledge (Hedge\'s g = 0.89, 95% CI = 0.29-1.48) and self-management (Hedge\'s g = 0.67, 95% CI = 0.38-0.95), as well as reducing loss to follow-up (OR = 0.41, 95% CI = 0.22-0.77). The certainty of evidence for the estimated values of each major outcome was low or very low.
CONCLUSIONS: This study supports the implementation of transition interventions by demonstrating that they can improve patients\' disease knowledge and self-management, while also promoting treatment continuity. However, since the available data on transition interventions for adolescents and young adults with CHD remain limited, the widespread adoption of structured transition interventions in the future may alter the conclusions of this study.
BACKGROUND: URL: https://www.crd.york.ac.uk/PROSPERO. Unique identifier: CRD42023399026.