Valentijn Pim P, Tymchenko Liza, Gruisen Wiro, Bruls Bem, Abdalla Pereira Fernando, Arends Rosa Y
Essenburgh Research & Consultancy, Essenburgh Group, Harderwijk, the Netherlands.
Research Group Nursing, Hanze University of Applied Sciences, Groningen, the Netherlands.
Int J Integr Care. 2024 Aug 19;24(3):16. doi: 10.5334/ijic.7744. eCollection 2024 Jul-Sep.
In this paper, we use the Rainbow Model of Integrated Care (RMIC) framework to evaluate the effectiveness of integrated care in terms of enhancing the outcomes of chronic conditions such as diabetes mellitus type 2 (DMT2), cardiovascular diseases (CVD), chronic respiratory diseases (CRD), or their combinations.
The data extracted from randomized controlled trials (RCT) of integrated care interventions for DMT2, CVD, and CRD (follow-up ≥ 3 months) in 11 databases were analysed using random-effects meta-analysis.
A total of 54 eligible studies covering 12,976 participants, with a mean follow-up of 54 weeks, were included. In moderate-quality evidence, integrated care interventions reduced mortality for CVD, adverse events for CVD and DMT2, and improved quality of life for CVD and DMT2, physical and mental functioning, self-management, and blood pressure control.
Integrated care can reduce all-cause mortality, adverse events, and improve quality of life, physical and mental functioning, self-management and blood pressure control in chronic disease patients. However, available evidence for some outcomes (e.g., all-cause hospital admissions) remains uncertain.
在本文中，我们使用综合护理彩虹模型（RMIC）框架来评估综合护理在改善2型糖尿病（DMT2）、心血管疾病（CVD）、慢性呼吸道疾病（CRD）等慢性病结局或其合并症方面的有效性。
从11个数据库中提取的关于DMT2、CVD和CRD综合护理干预的随机对照试验（RCT）（随访≥3个月）的数据，采用随机效应荟萃分析进行分析。
共纳入54项符合条件的研究，涉及12976名参与者，平均随访54周。在中等质量证据中，综合护理干预降低了CVD的死亡率、CVD和DMT2的不良事件，并改善了CVD和DMT2的生活质量、身心功能、自我管理和血压控制。
综合护理可以降低慢性病患者的全因死亡率、不良事件，并改善生活质量、身心功能、自我管理和血压控制。然而，一些结局（如全因住院）的现有证据仍不确定。
