بررسی کیفیت زندگی و عوامل موثر بر آن در بیماران مبتلا به سکته مغزی در ایران: مرور سیستماتیک و متاآنالیز

نوع مقاله : Review Article

نویسندگان

1 گروه مدیریت خدمات بهداشتی و درمانی، دانشکده‌ی مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران

2 دانشجوی کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی شیراز، شیراز، ایران

3 گروه علوم کتابداری و اطلاع‌رسانی پزشکی، مرکز تحقیقات فناوری اطلاعات سلامت، کمیته‌ی تحقیقات دانشجویی، دانشکده‌ی مدیریت و علوم اطلاعات پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 استادیار، گروه مدیریت خدمات بهداشتی و درمانی، دانشکده‌ی مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی شیراز، شیراز، ایران

چکیده

مقاله پژوهشی




مقدمه: سکته‌ی مغزی، دومین عامل مرگ و میر و یکی از عوامل اصلی ناتوانی در جهان می‌باشد. هدف از مطالعه‌ی‌ حاضر، بررسی کیفیت زندگی و عوامل مؤثر بر آن در بیماران مبتلا به سکته‌ی مغزی در ایران با استفاده از مرور سیستماتیک و متاآنالیز می‌باشد.
روش‌ها: در مطالعه‌ی حاضر با استفاده از روش مرور نظام‌مند، مقالات مرتبط با کیفیت زندگی بیماران مبتلا به سکته‌ی مغزی در ایران با استفاده از پایگاه‌های داده‌ای داخلی و بین‌المللی ISI, PubMed, Scopus, SID, Medlib, Magiran بدون محدودیت زمانی استخراج شدند. بعد از استخراج و ارزیابی کیفیت مقالات بر اساس چک‌لیست استروب، اطلاعات مربوط به مقالات در جداول تطبیقی وارد شدند. جهت بررسی ناهگونی مطالعات از index I2 و Cochrane's Q test استفاده شد. تحلیل‌ها با استفاده از نرم‌افزار Comprehensive meta-analysis انجام شد.
یافته‌ها: با توجه به معیارهای ورود و خروج از مطالعات، 19 مطالعه در تحلیل نهایی وارد شدند. یافته‌های حاصل از مطالعه‌ی مروری حاضر نشان داد، از 19 مطالعه‌ی مورد بررسی، بیشترین میانگین کل نمره‌ی کیفیت زندگی بیماران 26/191 بود و بیشترین میانگین مربوط به بعد سلامت جسمانی (87/5) بوده است. نتایج متاآنالیز با استفاده از مدل اثرات تصادفی نشان داد که میانگین نمره‌ی کیفیت زندگی در بیماران مبتلا به سکته‌ی مغزی در ایران با فاصله‌ی اطمینان 95 درصد، 90/4 می‌باشد.
نتیجه‌گیری: کیفیت زندگی بیماران سکته‌ی مغزی با عواملی همچون اقدامات توانبخشی، افزایش درآمد، حمایت اجتماعی، متأهل بودن، آموزش الکترونیکی، اقدامات توانبخشی، مصرف سرتالین و تمرینات ذهنی و تحصیلات، رابطه‌ی مثبت و با عواملی از قبیل افسردگی، ترس از زمین خوردن و فشارخون بالا، رابطه‌ی منفی دارد. بنابراین ضمن توجه به اهمیت این عوامل، آموزش و مراقبت پیگیر این بیماران مورد تأکید می‌باشد.

تازه های تحقیق

مرضیه هادیان:  Google Scholar

شیما بردبار:  Google Scholar

الهه مظاهری:  Google Scholar

عبدالصالح جعفری:  Google Scholar

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Investigating the Quality of Life and Factors Affecting It in Stroke Patients in Iran: A Systematic Review and Meta-Analysis

نویسندگان [English]

  • Marziye Hadian 1
  • Shima Bordbar 2
  • Amir Ghahramani 2
  • Elaheh Mazaheri 3
  • Abdolsaleh Jafari 4
1 Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran
2 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
3 Department of Medical Library and Information Sciences, Health Information Technology Research Center, Student Research Committee, Faculty of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
4 Assistant Professor of Health Services Management, Department of Health Services Management, School of Health Management and Information Science, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده [English]

Background: Stroke is the second leading cause of death and a major cause of disability worldwide. Determining the quality of life of patients and its dimensions can help treatment staff, patients' caregivers, and patients themselves in choosing effective treatment methods to improve their health. The purpose of this study is to investigate the quality of life and its affecting factors in stroke patients in Iran using a systematic review and meta-analysis.
Methods: In this study, relevant articles on the quality of life in stroke patients in Iran were extracted from the domestic and international databases of Magiran, Medlib, SID ISI, PubMed, Scopus, without a time limit. After extraction and quality assessment using the STROBE checklist, article data were entered into comparative tables. Heterogeneity was assessed using the I² index and Cochrane’s Q-test. Analyses were performed using Comprehensive Meta-Analysis software.
Findings: After searching for articles based on inclusion and exclusion criteria, 19 articles were included in the final analysis. The findings of the present study showed that out of 19 studies, the highest mean total score for patients' quality of life was 191.26, and among the physical, social and mental health dimensions of stroke patients' quality of life, the highest mean score was related to the physical health dimension (87.5). Meta-analysis using a random-effects model showed the mean quality of life score for stroke patients in Iran was 90.4 (95% confidence interval).
Conclusion: Quality of life in stroke patients is positively correlated with rehabilitation interventions, increased income, social support, marriage, e-learning, Sertaline use, mental exercises and education. Negative correlations were observed with depression, fear of falling and hypertension. Therefore, while paying attention to the importance of these factors, education and continuous care for these patients are emphasized.

کلیدواژه‌ها [English]

  • Quality of life
  • Effective factors
  • Stroke
  • Iran
  • Patient
  • Systematic review

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مجله دانشکده پزشکی اصفهان
دوره 43، شماره 806
هفته 2، اردیبهشت
فروردین و اردیبهشت 1404
صفحه 184-195

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سابقه مقاله

  • تاریخ دریافت: 26 فروردین 1403
  • تاریخ پذیرش: 25 اسفند 1403

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