Le Yu, Qiao Xiao, Wei Cheng, Xia Gao, Kanxiang Di, Shi Zhixue* Jiangsu Provincial Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine Department of Pulmonary and Critical Care Medicine，Nanjing 210001, Jiangsu Province, China
Objective: This is a meta-analysis of the effect of Internet-based continuing nursing (CN) on patients with stable chronic obstructive pulmonary disease (COPD). Methods: The clinical studies or randomized controlled trials on the application effect of CN in COPD were retrieved, and the selected literature was determined by software de-duplication, manual reading and screening according to the inclusion and exclusion criteria. Then, a meta-analysis of the effects of CN on pulmonary function (PF), motor function, quality of life (QOL) and disease progression (re-hospitalization or disease exacerbation) of COPD patients in the literature was conducted. According to the heterogeneity test results of various articles, RevMan fixed- or random-effects model were used for comparison. Results: After screening, 9 articles with the quality grade B that was indicative of certain reference value were finally included in the study. Meta-analysis results showed that COPD patients using CN had better PF, motor function and QOL than control patients using conventional care (or other nursing methods), and the rehospitalization rate (disease exacerbation rate) was lower (P<0.05). Conclusion: Internet-based CN can effectively improve the PF, motor function, and QOL of patients with stable COPD and reduce the possibility of COPD progression, which is of great significance to protect patients’ health and life safety and is worth clinical popularization.
Keywords:chronic obstructive pulmonary disease; continuing nursing; meta-analysis; nursing effect; pulmonary function