60年的研究表明病人健康教育的有效性:一个二级元分析。

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Health Psychology Review Pub Date : 2022-09-01 Epub Date: 2021-08-24 DOI:10.1080/17437199.2021.1967184
Bianca A Simonsmeier, Maja Flaig, Thomas Simacek, Michael Schneider
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引用次数: 17

摘要

虽然荟萃分析研究了患者教育与健康之间的关系,但这一证据的有效性和质量尚未得到全面评估。这个二级荟萃分析结合了以前的荟萃分析,这些荟萃分析检验了患者教育对健康结果的有效性,作为总体加权大平均值d¯¯。此外,还对方法学质量、一阶元分析中有意义的变异性和发表偏倚的证据进行了检验。我们确定了40项荟萃分析,调查了156项患者教育与健康之间的关联,总结了超过776项研究的数据,其中包括超过74947名患者。定量分析显示,患者教育对健康结局有积极影响,d¯¯= 0.316 (95% CI[0.304, 0.329])。总结随机对照试验的数据表明存在因果关系。患者教育对肿瘤、糖尿病、精神和行为障碍、循环系统疾病、呼吸系统疾病和肌肉骨骼系统疾病的患者是有效的。患者教育在减少药物使用、疼痛和医疗设施就诊方面是有效的,并显著改善了生理、身体、心理结果和患者的一般功能。总的来说,研究结果为患者教育对健康结果的有效性提供了确凿的证据。然而,缺乏以理论为基础的干预措施,需要实施以实现从理论到实践的成功转移。
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What sixty years of research says about the effectiveness of patient education on health: a second order meta-analysis.

Although meta-analyses have examined the association between patient education and health, the validity and quality of this evidence have not been comprehensively assessed. This second order meta-analysis combined previous meta-analyses that examined the effectiveness of patient education on health outcomes as an overall weighted grand mean d¯¯. Further, measures of methodological quality, meaningful variability across first order meta-analyses, and evidence for publication bias were examined. Forty meta-analyses were identified, investigating 156 associations between patient education and health summarizing data from over 776 studies including more than 74.947 patients. Quantitative analyses showed that patient education positively affects health outcomes with d¯¯ = 0.316 (95% CI [0.304, 0.329]). Summarizing data exclusively from randomized controlled trials indicated a causal effect. Patient education was effective for patients with neoplasms, diabetes, mental and behavioral disorders, diseases of the circulatory system, the respiratory system, and the musculoskeletal system. Patient education was effective in the reduction of medication use, pain, and visits to medical facilities, and significantly improved physiological, physical, psychological outcomes, and patients' general function. Overall, the findings reveal firm evidence for the effectiveness of patient education on health outcomes. However, theory-based interventions are lacking and need to be implemented to enable a successful transfer from theory to practice.

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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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