成人冠心病患者健康行为改变的患者教育干预措施：系统评价和荟萃分析的方案。

Patient education interventions for health behaviour change in adults diagnosed with coronary heart disease: A protocol for a systematic review and meta-analysis.

机构信息

Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

Charles Perkins Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

出版信息

J Adv Nurs. 2021 Feb;77(2):1043-1050. doi: 10.1111/jan.14656. Epub 2020 Nov 18.

DOI:10.1111/jan.14656

PMID:33210356

Abstract

AIM

To assess the efficacy of structured patient education on disease-related knowledge and health behaviour change outcomes in adults with coronary heart disease.

DESIGN

Systematic review and meta-analyses including meta-regression on education duration.

METHODS

Seven databases (including Medline, Pubmed (non-Medline), CINAHL, PsycINFO, Embase, Emcare and Cochrane central register of controlled trials) will be searched from inception through 2020 to identify relevant randomized controlled trials testing interventions to improve health behaviours and disease-related knowledge in adults with coronary heart disease. Risk for bias will be assessed using the Cochrane Risk for Bias tool. Data will be synthesized using random-effects meta-analyses in Comprehensive Meta-Analysis Version 3. Heterogeneity will be assessed using Cochrane's Q statistic and the I-squared statistic will be reported. Meta-regression will be used to determine the effect of intervention duration. Publication bias will be assessed using funnel plots and Egger's test and which will be adjusted by conducting the trim-and-fill test when necessary. Funding for this project began in March 2020.

DISCUSSION

We will examine knowledge and behaviour outcomes including physical activity, dietary habits, smoking and medication adherence for patients with coronary heart diseases. This review will be the most comprehensive meta-analysis of structured patient education interventions to date and the first to analyse the effect of education duration.

IMPACT

The efficacy of patient education on knowledge and behaviour outcomes for patients with coronary heart diseases has not yet been established. This systematic review will determine the efficacy of structured patient education on knowledge and behaviour outcomes and determine whether the duration of patient education influences patient outcomes and thus guide intervention design. PROSPERO registration Number: CRD42020173467.

摘要

目的

评估针对冠心病成人的疾病相关知识和健康行为改变结果的结构化患者教育的疗效。

设计

包括对教育持续时间进行元回归的系统评价和荟萃分析。

方法

将从建库开始到 2020 年在 7 个数据库（包括 Medline、Pubmed（非 Medline）、CINAHL、PsycINFO、Embase、Emcare 和 Cochrane 对照试验中心注册库）中搜索相关随机对照试验，以评估干预措施对改善冠心病成人健康行为和疾病相关知识的效果。使用 Cochrane 偏倚风险工具评估偏倚风险。使用 Comprehensive Meta-Analysis Version 3 中的随机效应荟萃分析来综合数据。使用 Cochrane 的 Q 统计量评估异质性，并报告 I 平方统计量。将使用元回归来确定干预持续时间的效果。使用漏斗图和 Egger 检验评估发表偏倚，并在必要时通过进行修剪和填充检验进行调整。该项目的资助始于 2020 年 3 月。