Meta-Analysis of Influencing Factors of Treatment Compliance in Children with Asthma in China

Luo Nan; Wang Ling; Yuan Xiaoping

doi:10. 13407/ j. cnki. jpp. 1672-108X. 2023. 12. 002

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Meta-Analysis of Influencing Factors of Treatment Compliance in Children with Asthma in China

更新时间：2023-11-25

- Meta-Analysis of Influencing Factors of Treatment Compliance in Children with Asthma in China
- Vol. 29, Issue 12, Pages: 5-12(2023)
- 作者机构：
  
  重庆医科大学附属儿童医院,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,重庆,400014
- 作者简介：
- 基金信息：
- DOI：10. 13407/ j. cnki. jpp. 1672-108X. 2023. 12. 002
  CLC：
- Published：2023，
  
  Published Online：10 December 2023，
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Luo Nan, Wang Ling, Yuan Xiaoping. Meta-Analysis of Influencing Factors of Treatment Compliance in Children with Asthma in China. [J]. 29(12):5-12(2023)
DOI：

Luo Nan, Wang Ling, Yuan Xiaoping. Meta-Analysis of Influencing Factors of Treatment Compliance in Children with Asthma in China. [J]. 29(12):5-12(2023) DOI： 10. 13407/ j. cnki. jpp. 1672-108X. 2023. 12. 002.

摘要

目的:系统评价中国哮喘儿童治疗依从性的影响因素。方法:计算机检索 the Cochrane Library、EMBase、PubMed、Web of Science、中国知网、中国生物医学文献数据库、万方数据库及维普数据库

收集有关中国哮喘儿童治疗依从性影响因素的观察性研究

检索时间为建库至 2023 年 3 月 31 日。由 2 名研究者独立筛选文献、提取资料并根据 JBI 循证卫生保健中心推荐的质量评价工具进行偏倚风险评估后

采用 Stata 17. 0 和 RevMan 5. 3 软件进行 Meta 分析。结果:纳入 30 项研究

共计 5 285 例患儿

包括 15 项横断面研究和 15 项病例对照研究。 Meta 分析结果显示

中国哮喘儿童治疗依从率为 41. 1%

照顾者认知水平低、药物不良反应、不良心理反应、吸入技术差是影响治疗依从性的危险因素;哮喘儿童症状严重是治疗依从性的保护因素;照顾者文化程度、患儿年龄、经济条件、医护监督、病程、照顾者对医护人员信任度与治疗依从性无关。结论:中国哮喘儿童治疗依从性较差

建议医护人员针对可改善的影响因素

如照顾者认知水平低、不良心理反应、吸入技术差等制定干预措施

提高哮喘儿童治疗依从性。

Abstract

Objective: To systematically evaluate influencing factors of treatment compliance in children with asthma in China. Methods: The Cochrane Library

EMBase

PubMed

Web of Science

CNKI

CBM

Wanfang and VIP databases were retrieved for collecting observational studies on influencing factors of treatment compliance in children with asthma in China. The retrieval time was from the establishment of the database to Mar. 31st

2023. Two researchers independently screened literature

extracted data

and assessed bias risks based on the quality assessment tool recommended by the Joanna Briggs Institute (JBI) Center for Evidence-Based Healthcare. Meta-analysis was performed by using Stata 17. 0 and RevMan 5. 3 software. Results: A total of 30 studies were enrolled

including 5

285 cases of children

with 15 cross-sectional studies and 15 case-control studies. Meta-analysis showed that the treatment compliance rate in children with asthma in China was 41. 1%. Factors such as low caregiver cognitive level

adverse drug reactions

adverse psychological reactions and poor inhalation technique were identified as risk factors for treatment compliance. The severity of asthma symptoms was identified as a protective factor for treatment compliance. Caregiver education level

children’ s age

economic status

medical supervision

duration of illness

and caregiver trust in clinicians and nurses were found to be unrelated to treatment compliance. Conclusion: Treatment compliance is poor in children with asthma in China

it is suggested that clinicians and nurses develop interventions targeting modifiable factors

such as low caregiver cognitive level

adverse psychological reactions and poor inhalation technique

to improve treatment compliance in children with asthma in China.

关键词

哮喘儿童依从性影响因素Meta 分析

Keywords

asthmachildrencomplianceinfluencing factorsMeta-analysis

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