护士主导干预对接受无创通气的成人依从性和临床结局的影响：随机对照试验的系统评价
Effects of Nurse-Led Interventions on Adherence and Clinical Outcomes Among Adults Receiving Noninvasive Ventilation: A Systematic Review of Randomized Controlled Trials.
文献信息
| PMID | 42865773 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Zhenxiu Yu |
| 作者单位 | Department of ICU Ya'an People's Hospital Ya'an China yasyy.com. |
| 期刊 | Nursing research and practice |
| SCI 分区 | Q2 |
| IF | 3.6 |
| 研究类型 | 综述 Meta · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景： 无创通气（NIV）是呼吸系统疾病治疗的基石，但其有效性取决于患者依从性，而依从性仍不理想。尽管护士在NIV管理中发挥关键作用，但护士主导干预对依从性和临床结局的影响仍不明确。
目的： 评价护士主导干预对成人NIV依从性和临床结局的影响。
方法： 检索6个数据库自建库至2026年1月的英文随机对照试验（RCT），纳入接受NIV的成人。两名评价者独立进行研究选择和数据提取。使用RoB 2工具评估偏倚风险，结果采用非荟萃分析方式综合。
结果： 共纳入16项RCT，涉及1757名参与者。各研究的偏倚风险从低到高不等。干预措施包括健康教育、动机和行为策略以及随访支持，通过面对面、电话或远程医疗方式提供。护士主导干预可能改善NIV依从性，但效果因干预类型和随访期而异。一些研究报告症状负担、情绪状态和部分卫生服务结局有所改善，而关于生活质量、自我效能和医疗资源利用的结果不一致。
结论： 护士主导干预可能改善NIV依从性，尤其是将教育与动机和行为策略及结构化随访相结合时。
英文摘要
BACKGROUND: Noninvasive ventilation (NIV) is a cornerstone therapy for respiratory diseases, but its effectiveness depends on patient adherence, which remains suboptimal. Although nurses play a key role in NIV management, the effects of nurse-led interventions on adherence and clinical outcomes remain unclear.
OBJECTIVE: To evaluate the effects of nurse-led interventions on NIV adherence and clinical outcomes in adults.
METHODS: Six databases were searched from inception to January 2026 for English randomized controlled trials (RCTs) involving adults receiving NIV. Two reviewers independently conducted study selection and data extraction. Risk of bias was assessed using the Risk of Bias 2 tool, and the findings were synthesized without meta-analysis.
RESULTS: Sixteen RCTs involving 1757 participants were included. Risk of bias ranged from low to high across studies. Interventions included health education, motivational and behavioral strategies, and follow-up support delivered face-to-face, by telephone, or via telehealth. Nurse-led interventions may improve NIV adherence, although the effects varied across intervention types and follow-up periods. Some studies reported improvements in symptom burden, emotional status, and selected health service outcomes, whereas findings on quality of life, self-efficacy, and healthcare utilization were inconsistent.
CONCLUSIONS: Nurse-led interventions may improve NIV adherence, particularly when combining education with motivational and behavioral strategies and structured follow-up.