Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Charles Perkins Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
J Clin Nurs. 2023 Aug;32(15-16):5300-5327. doi: 10.1111/jocn.16519. Epub 2022 Sep 11.
To assess the effectiveness of educational interventions and the relative effect of intervention duration on secondary prevention health behaviours in adults with coronary heart disease.
Patient education can reduce disease progression and improve outcomes. However, there is a lack of knowledge of its efficacy and the relative impact of education duration on health behaviour change in this population.
A systematic review and meta-analysis.
Seven electronic databases and grey literature were searched from Inception to July 2021. The review followed the PRISMA guidelines. This meta-analysis was analysed in Comprehensive Meta-Analysis version 3 software. Outcomes considered were disease knowledge and health behavioural outcomes. Data were pooled together with random-effects models using the inverse-variance method. The effect of education duration (<3 vs. ≥3 months) was examined by meta-regressions.
In summary, 73 studies were included with a total of participants (n = 24,985) aged mean of 60.5 ± 5.7 years and mostly male (72.5%). Patient education improved all behaviours including disease knowledge at <6 and 6-12 months follow-up, the likelihood of quitting smoking at <6, and 6-12 months, medication adherence at <6 and 6-12 months; physical activity and exercise participation at <6 and 6-12 months and healthy dietary behaviours, at <6 and 6-12 months. Furthermore, education programmes with a longer duration (≥3 months) improved disease knowledge and physical activity more than shorter programmes.
Patient education for secondary prevention, in various delivery modes and intensities, improves multiple self-reported health behaviours in patients with coronary heart disease.
This study assessed the effectiveness of secondary prevention education and demonstrated improvements in all outcomes in this population. Longer duration programmes were more effective in improving disease knowledge and physical activity in the long term. These findings can assist the cardiac programmes' design, particularly in ensuring sufficient intervention duration.
评估教育干预措施在冠心病成人二级预防健康行为中的有效性，以及干预持续时间对其的相对影响。
患者教育可以减缓疾病进展，改善结局。然而，对于该人群的疾病教育的效果及其对健康行为改变的相对影响，我们知之甚少。
系统综述和荟萃分析。
从创建到 2021 年 7 月，检索了 7 个电子数据库和灰色文献。综述遵循 PRISMA 指南。该荟萃分析在 Comprehensive Meta-Analysis version 3 软件中进行分析。考虑的结局包括疾病知识和健康行为结局。使用Inverse-variance 方法和随机效应模型对数据进行汇总。通过荟萃回归分析，检验了教育持续时间（<3 个月与≥3 个月）的影响。
综述共纳入 73 项研究，总计 24985 名参与者，平均年龄为 60.5±5.7 岁，且大多数为男性（72.5%）。患者教育改善了所有行为，包括<6 个月和 6-12 个月随访时的疾病知识、<6 个月和 6-12 个月时的戒烟可能性、<6 个月和 6-12 个月时的药物依从性、<6 个月和 6-12 个月时的身体活动和运动参与度以及<6 个月和 6-12 个月时的健康饮食行为。此外，持续时间较长（≥3 个月）的教育计划在改善疾病知识和身体活动方面比持续时间较短的计划更有效。
针对二级预防的患者教育，以各种交付模式和强度实施，可改善冠心病患者的多项自我报告健康行为。在长期内，较长时间的方案在改善疾病知识和身体活动方面更为有效。这些发现可以帮助设计心脏疾病防治项目，特别是在确保干预持续时间充足方面。
本研究评估了二级预防教育的效果，并证明了该人群所有结局的改善。在长期内，持续时间较长的方案在改善疾病知识和身体活动方面更为有效。这些发现可以帮助心脏疾病防治项目的设计，特别是在确保干预持续时间充足方面。
