Sezgin Merve Gozde, Bektas Hicran
Akdeniz University Faculty of Nursing, Department of Internal Medicine Nursing, Antalya, Turkey.
Akdeniz University Faculty of Nursing, Department of Internal Medicine Nursing, Antalya, Turkey.
Pain Manag Nurs. 2023 Oct;24(5):549-557. doi: 10.1016/j.pmn.2023.06.009. Epub 2023 Aug 4.
Coaching programs are used to achieve continuity in physical activity and reduce pain severity in patients with rheumatoid arthritis. Our aim was to examine the effects of coaching programs on physical activity and pain in patients with rheumatoid arthritis through randomized controlled trials.
Systematic review and meta-analysis.
Scopus, PubMed, Web of Science, Cochrane Library, Science Direct, EBSCOhost/CINAHL Complete, Springer Link, ProQuest, and Ovid databases were searched without year limitations in English until May 2023.
REVIEW/ANALYSIS METHODS: PRISMA guideline was employed. Comprehensive Meta-Analysis 3 software was used to analyze the meta-analysis data. Two researchers independently assessed the quality of the included studies using the Cochrane Collaboration tool.
This study included six randomized controlled trials with a total of 983 participants. It was determined that the coaching programs were effective in improving physical activity levels (95% CI = 0.14-0.39, Hedge's g = 0.27, p < .001) and reducing pain (95% CI = 0.07-0.39, Hedge's g = 0.23, p = .006) in the intervention groups compared with the control groups. It was determined that the application of coaching programs in the form of face-to-face sessions and phone calls at 7-10 sessions per year in patients diagnosed with rheumatoid arthritis was beneficial in pain management and improving physical activity levels.
Face-to-face sessions and telephone interviews are recommended as part of a coaching program for the maintenance of physical activity and pain management in patients with rheumatoid arthritis. Coaching programs can improve patients' functional status. There is a need to determine effective strategies by increasing awareness of the coaching programs implemented by nurses.
指导计划用于实现类风湿关节炎患者身体活动的持续性并减轻疼痛严重程度。我们的目的是通过随机对照试验研究指导计划对类风湿关节炎患者身体活动和疼痛的影响。
系统评价和荟萃分析。
检索了Scopus、PubMed、Web of Science、Cochrane图书馆、Science Direct、EBSCOhost/CINAHL Complete、Springer Link、ProQuest和Ovid数据库，检索截至2023年5月，不限年份，语言为英文。
综述/分析方法：采用PRISMA指南。使用Comprehensive Meta-Analysis 3软件分析荟萃分析数据。两名研究人员使用Cochrane协作工具独立评估纳入研究的质量。
本研究纳入了6项随机对照试验，共983名参与者。结果表明，与对照组相比，干预组的指导计划在提高身体活动水平方面有效（95%CI = 0.14 - 0.39，Hedge's g = 0.27，p <.001），在减轻疼痛方面也有效（95%CI = 0.07 - 0.39，Hedge's g = 0.23，p =.006）。结果还表明，对于诊断为类风湿关节炎的患者，以每年7 - 10次面对面会议和电话的形式实施指导计划，对疼痛管理和提高身体活动水平有益。
建议将面对面会议和电话访谈作为类风湿关节炎患者身体活动维持和疼痛管理指导计划的一部分。指导计划可以改善患者的功能状态。有必要通过提高对护士实施的指导计划的认识来确定有效的策略。
