中医护理技术治疗COPD伴失眠患者疗效的Meta分析

Meta-Analysis of Therapeutic Effect of Traditional Chinese Medicine Nursing Technique on COPD Patients with Insomnia

摘要: 目的：采用Meta分析方法评价中医护理技术对COPD伴失眠患者的护理效果。方法：计算机检索中国知网、维普、万方、中国生物医学文献数据库、PubMed、Scopus中有关中医护理技术对COPD患者失眠的随机对照试验，检索时间从建库至2024年10月。遵循Cochrane手册质量评价标准进行文献质量评价和使用Cochrane RoB 2.0进行特定领域的风险评估，采用RevMan5.3软件对资料进行统计分析。结果：共纳入7篇文献，对照组259例，实验组261例。7篇文献以中医疗效评价作为评价指标，5篇文献以匹兹堡睡眠指数量表(PSQI)作为评价指标，1篇以阿森斯睡眠量表作为评价指标，1篇未评价睡眠质量。Meta分析显示实验组的中医护理效果优于对照组[OR = 4.13, 95%CI (2.51,6.80), P < 0.001]，实验组的睡眠质量优于对照组[OR = 3.59, 95%CI (1.93,6.69), P < 0.001]。结论：中医护理技术对COPD伴失眠患者有显著护理效果，有效改善患者的睡眠质量。

Abstract: Objective: To evaluate the nursing effect of traditional Chinese medicine nursing technology on COPD patients with insomnia. Methods: The randomized controlled trials of traditional Chinese medicine nursing technology on COPD patients with insomnia in CNKI, VIP, Wanfang, and CBMdisc were searched by computer. The retrieval time was from the establishment of the database to October 2024. The literature quality evaluation was carried out according to the quality evaluation standard of Cochrane Manual, and the data were statistically analyzed by RevMan5.3 software. Results: A total of 7 literatures were included, with 259 cases in the control group and 261 cases in the experimental group. Seven literatures used TCM efficacy evaluation as evaluation index, 5 literatures used Pittsburgh Sleep Index Scale (PSQI) as evaluation index, 1 used Athens Sleep Scale as evaluation index, and 1 did not evaluate sleep quality. Meta-analysis showed that the effect of TCM nursing in the experimental group was better than that of the control group(Z = 5.58, P < 0.01), and the sleep quality of the experimental group was better than that of the control group (Z = 4.03, P < 0.01). Conclusion: TCM nursing technology has a significant nursing effect on COPD patients with insomnia, effectively improving the sleep quality of patients.