非藥物干預(yù)改善維持性血液透析病人睡眠質(zhì)量的網(wǎng)狀Meta分析

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Nondrug intervention improves sleep quality in maintenance hemodialysis patients：a network Metaanalysis

LIU Zhiyan，ZUO Miaohe，LUO Rongmei，JIANG Gaiying，LIU XinyueSchool of Nursing，Shanxi University of Chinese Medicine，Shanxi 030600 ChinaCorresponding AuthorJIANG Gaiying，Email：[email protected]

AbstractObjective：To investigate the effect of nondrug intervention on sleep quality in patients with maintenance hemodialysis through network Metaanalysis.Methods：PubMed，EMbase，Web of Science，the Cochrane Library，CNKI，WanFang Database，VIP and CBM were searched systematically.The search period was up to October 20，2023.Stata 14.0 software was used to perform network Metaanalysis.Results：A total of 23 articles were included，involving 2 078 patients，covering 13 different types of nondrug therapy.The Metaanalysis results showed that ear acupressure combined with acupoint massage，ear acupressure，ear bean embedding combined with traditional Chinese medicine pillow，eight section brocade，psychotherapy，cognitive behavioral intervention，rehabilitation exercise，etc.had better effects on improving the sleep quality of maintenance hemodialysis patients than conventional nursing interventions，and the differences were statistically significant（P<0.05）.Among them，the combination of ear acupressure and acupoint massage has a better therapeutic effect on improving the sleep quality of maintenance hemodialysis patients compared to the other 12 intervention measures（P<0.05）.Conclusion：Ear acupressure combined with acupoint massage is the best nondrug intervention measure to improve sleep quality in maintenance hemodialysis patients，but it still requires a large number of highquality randomized controlled trials for verification.

Keywordshemodialysis;sleep quality;nondrug intervention;network Metaanalysis;evidencebased nursing

摘要目的：通過網(wǎng)狀Meta分析探討非藥物干預(yù)對(duì)提高維持性血液透析病人睡眠質(zhì)量的效果。（剩余9772字）