Alhani Fatemeh, Asghari-Jafarabadi Mohammad, Norouzadeh Reza, Rahimi-Bashar Farshid, Vahedian-Azimi Amir, Jamialahmadi Tannaz, Sahebkar Amirhossein
Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
J Affect Disord. 2022 Nov 1;316:140-147. doi: 10.1016/j.jad.2022.07.066. Epub 2022 Aug 11.
Family-centered empowerment model (FCEM) is a concept that strengthens the family to help a chronic patient to obtain a better quality of life (QoL). The effects of FCEM on QoL of chronic patients are still inconclusive. Therefore, this meta-analysis was conducted to evaluate the effect of FCEM on QoL of adult patients with chronic diseases.
Following an online search PubMed/MEDLINE, Scopus, Web of Science, ProQuest, OVID, EMBASE, EBSCO, PsycINFO and Persian databases (Irandoc, IranMedex, SID and MagIran), all studies that tested the impact of FCEM on QoL of patients with chronic diseases were included. Cochrane Risk of Bias Tool was used to assessment the quality of included randomized clinical trials (RCTs) and before/after studies. Analyses were conducted by STATA16.
Six hundred and ninety-seven studies were identified for screening. After screening process, 11 eligible studies were included in this meta-analysis. There were significant intervention effects in all QoL dimensions, physical and mental subscales and QoL total score (All P < 0.05). The minimum lower bound for SMD was 0.61 (95%CI: 0.96 to 1.66), indicating an increasing effect of the intervention on all QOL dimensions. The results showed substantial heterogeneity between the studies for all QoL dimensions, physical and mental subscales and QoL total scores (P < 0.001).
FCEM is an appropriate model with a simple and effective application for families with a patient suffering from a chronic illness. Nursing education planners and healthcare providers could benefit from this model for improving the nursing education curriculum and accrediting programs.
以家庭为中心的赋权模式（FCEM）是一个强化家庭以帮助慢性病患者获得更好生活质量（QoL）的概念。FCEM对慢性病患者生活质量的影响仍无定论。因此，进行了这项荟萃分析以评估FCEM对成年慢性病患者生活质量的影响。
通过在线检索PubMed/MEDLINE、Scopus、Web of Science、ProQuest、OVID、EMBASE、EBSCO、PsycINFO和波斯语数据库（Irandoc、IranMedex、SID和MagIran），纳入所有测试FCEM对慢性病患者生活质量影响的研究。使用Cochrane偏倚风险工具评估纳入的随机临床试验（RCT）和前后对照研究的质量。分析由STATA16进行。
共识别出697项研究用于筛选。经过筛选过程，11项符合条件的研究被纳入本荟萃分析。在所有生活质量维度、身体和心理子量表以及生活质量总分方面均有显著的干预效果（所有P < 0.05）。标准化均数差（SMD）的最小下限为0.61（95%CI：0.96至1.66），表明干预对所有生活质量维度均有增强作用。结果显示，在所有生活质量维度、身体和心理子量表以及生活质量总分方面，各研究之间存在实质性异质性（P < 0.001）。
FCEM是一种适用于有慢性病患者家庭的模式，应用简单有效。护理教育规划者和医疗服务提供者可从该模式中受益，以改进护理教育课程和认证项目。
