Application of “Partnership Care Model” in chronically ill adults and children: A systematic review and dose-response meta-analysis of randomized controlled trials

IF 2.7 4区医学 Q1 NURSING Applied Nursing Research Pub Date : 2023-10-04 DOI:10.1016/j.apnr.2023.151744

Morteza Nasiri , Fatemeh Yarahmadi , Mehrnaz Ardaneh , Mehran Naghibeiranvand , Mohammad Sadegh Aghili Nasab , Sahar Zonoori , Maryam Babaei Khomeini , Mahya Torkaman , Mohammad Reza Rajabi , Masoud Rezaei , Masoomeh Asadi , Zohre Jafari

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引用次数: 1

Abstract

Background

“Partnership Care Model (PCM)”, which is the first partnership conceptual framework founded on the Iranian culture to control chronic diseases, has been recently used in different fields of nursing research with no levels of valid evidence to support its application. Therefore, this systematic review and meta-analysis sought to clarify the impacts of interventions developed based on PCM on quality of life (QoL), sleep quality, anxiety, and depression among adults and children with chronic diseases.

Methods

International data sources (e.g., PubMed, Web of Science, Scopus) and national databases (e.g., SID, MagIran, IranDoc, IRCT) were searched from 2001 to September 23, 2023, to find Randomized Controlled Trials (RCTs) on PCM-driven interventions for the experimental groups versus no intervention or standard care groups. The studies' methodological quality and evidence quality were rated utilizing the Cochrane risk of bias instruction and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Data were pooled by a random-effects approach employing STATA (vers. 11.2).

Result

Eighteen RCTs, reported in 22 publications, were qualified. The PCM compared to the standard care significantly improved the QoL among both adults (10 effect sizes [ESs], mean difference [MD]: 3.17, P < 0.001) and children (4 ESs, MD: 4.45, P < 0.001). Likewise, the intervention enhanced adults' sleep quality (3 ESs, MD: 7.15, P < 0.001). The anxiety of adults and children was also significantly lower in the PCM group (4 ESs, MD: −4.52, P = 0.001; 2 ESs, MD: −4.04, P < 0.001, respectively). However, regarding depression, a significant effect of PCM was found only among children (3 ESs, MD: −7.99, P = 0.011). The methodological quality of the studies and the evidence quality were undesirable.

Conclusion

The PCM had a promising influence on the caring of adults and children suffering from chronic diseases. However, additional high-quality RCTs are needed to generate a higher quality of evidence concerning the clinical benefits of the PCM.

PROSPERO no

CRD42021253790.

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“伙伴关系护理模式”在成人和儿童慢性病中的应用：随机对照试验的系统综述和剂量反应荟萃分析

背景“伙伴关系护理模式”是建立在伊朗文化基础上的第一个控制慢性病的伙伴关系概念框架，最近被用于不同的护理研究领域，但没有有效的证据支持其应用。因此，本系统综述和荟萃分析试图阐明基于PCM制定的干预措施对患有慢性病的成人和儿童的生活质量（QoL）、睡眠质量、焦虑和抑郁的影响。方法检索2001年至2023年9月23日期间的国际数据源（如PubMed、Web of Science、Scopus）和国家数据库（如SID、MagIran、IranDoc、IRCT），以查找实验组与无干预组或标准护理组PCM驱动干预的随机对照试验（RCT）。利用Cochrane偏倚风险指导和建议评估、发展和评估分级（GRADE）对研究的方法学质量和证据质量进行评级。采用STATA（第11.2版）的随机效应方法收集数据。结果22篇出版物中报道的18项随机对照试验合格。与标准护理相比，PCM显著改善了成人（10个效应大小[ES]，平均差异[MD]:3.17，P<；0.001）和儿童（4个效应大小，MD:4.45，P<）的生活质量。同样，干预提高了成人的睡眠质量（3个ESs，MD:7.15，P<；0.001）。PCM组成人和儿童的焦虑也显著降低（分别为4个ES，MD:-4.52，P=0.001；2个ES，MD：-4.04，P<：0.001）。然而，关于抑郁症，PCM的显著影响仅在儿童中发现（3个ESs，MD:-7.99，P=0.011）。研究的方法学质量和证据质量不理想。结论PCM对成人和儿童慢性病患者的护理具有良好的效果。然而，需要额外的高质量随机对照试验来产生关于PCM临床益处的更高质量的证据。PROSPERO编号CRD42021253790。

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.