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Mesh meta analysis of the intervention effects of health education models in stroke patients |
MA Xiaolin ZHONG Hua ZHU Lili YANG Xiaoyang ZENG Qiuxia ZHANG Fuqing |
Department of Acupuncture, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400021, China |
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Abstract Objective To explore the intervention effects of different health education models in stroke patients by mesh meta analysis, so as to provide a reference for stroke patients to choose the best health education model. Methods Cochrane Library, PubMed, Embase, Web of Science, MEDLINE, CBM, CNKI, VIP, and Wanfang Data were searched for randomized controlled trials on the efficacy of different health education modes in stroke patients from the inception to May 2021. Data were extracted and methodological quality was evaluated, and the mesh meta analysis was performed by Stata 15.1. Results A total of 19 literatures were included, involving 1 642 stroke patients. Mesh meta analysis showed that, compared with the control group, the enabling health education model had the best effect on improving the Barthel index of patients (SMD = 1.46, 95%CI: 1.21-1.77, P < 0.05). Health action process approach (HAPA) education model had the best effect in improving the scores of Spanish stroke-specific quality-of-life (SMD = 0.000 01, 95%CI: 0-0.02, P < 0.05) and health-promoting life style profile Ⅱ (SMD = 0.000 01, 95%CI: 0-10.04, P < 0.05). The Green health education model had the best effect on motor function Fugl-Meyer assessment scale (SMD = 2.058, 95%CI: 1.960-3.410, P < 0.05). Conclusion The enabling health education model, Green education model, and HAPA model can improve patients’ living ability, quality of life and motor function, achieve the purpose of health promotion, and have the value of promotion.
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