How Nurses' Interventions Promote Health Literacy in Patients With Non-Communicable Diseases: A Systematic Review

IF 3.5 3区医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2025-01-29 DOI:10.1111/jocn.17669

Karima Boumendil, Nana-Ayisha Yakubu, Nadia Al Wachami, Maryem Arraji, Younes Iderdar, Yassmine Mourajid, Fatima Zahra Bouchachi, Mohamed Chahboune

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Abstract

Background

More than one-third of all diseases in the world are non-communicable diseases (NCDs), and poorer health outcomes are linked to low health literacy (HL), in which nurses have a significant role to play. Various studies have confirmed that there is an association between HL and NCDs. However, less is known about how nurses can intervene in the development of HL in patients with NCDs. This systematic review was carried out to explore, in a comprehensive way, nursing interventions that could promote HL in patients with NCDs.

Methods

A systematic review (PROSPERO registration number: CRD370625) was carried out on five databases (PubMed MEDLINE, Web of Science, Scopus, ScienceDirect and JSTOR). Sequences that provided information for our study topic were retrieved and analysed following PRISMA guidelines for systematic reviews.

Results

In total, 1915 titles and abstracts were screened, 71 articles were assessed in full-text screening and 25 studies were included in the review. Around 23 different nurse-led intervention strategies were identified, but only 11 major ones were explored in detail. The majority of them prioritised communication (teach-back), self-management programs, counselling and education. In the majority of the trials, a significant positive outcome was discovered. Both nurses and patients needed to devote time and attention to the complex nurse-led HL interventions.

Conclusion

Nurses' HL interventions have shown promise in promoting HL and other health outcomes in people with NCDs, but they need to be tailored to fit specific patients. Nursing programs should include more than just patient teaching strategies.

Relevance to Clinical Practice

Nurses' HL efforts hold potential for enhancing HL in NCD patients, provided they are customised to individual needs.

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护士干预如何促进非传染性疾病患者的健康素养：一项系统综述

背景：世界上超过三分之一的疾病是非传染性疾病（NCDs），较差的健康结果与低健康素养（HL）有关，护士在这方面可以发挥重要作用。多项研究已证实HL与非传染性疾病之间存在关联。然而，关于护士如何干预非传染性疾病患者HL的发展，人们知之甚少。本系统综述旨在全面探讨可促进非传染性疾病患者发生HL的护理干预措施。方法：对5个数据库（PubMed MEDLINE、Web of Science、Scopus、ScienceDirect和JSTOR）进行系统评价（PROSPERO注册号：CRD370625）。按照PRISMA系统评价指南检索和分析为我们的研究主题提供信息的序列。结果：共筛选了1915篇标题和摘要，全文筛选了71篇文章，纳入了25项研究。确定了大约23种不同的护士主导干预策略，但只有11种主要策略得到了详细探讨。他们中的大多数人优先考虑沟通（反馈）、自我管理项目、咨询和教育。在大多数试验中，发现了显著的积极结果。护士和患者都需要投入时间和精力来进行复杂的护士主导的HL干预。结论：护士的HL干预措施在促进非传染性疾病患者HL和其他健康结果方面显示出了希望，但需要根据具体患者进行调整。护理项目应该包括的不仅仅是病人教学策略。与临床实践的相关性：护士的HL努力有可能提高非传染性疾病患者的HL，只要他们根据个人需求进行定制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.