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A systematic review of psychoeducational intervention trials for the management of chronic stable angina
Author(s) -
McGillion M.,
WattWatson J.,
Kim J.,
Yamada J.
Publication year - 2004
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/j.1365-2834.2004.00472.x
Subject(s) - intervention (counseling) , medicine , angina , nursing management , systematic review , intensive care medicine , physical therapy , medline , psychotherapist , psychology , nursing , myocardial infarction , political science , law
Background Chronic stable angina (CSA) is a cardinal symptom of coronary artery disease and has a major impact on health‐related quality of life (HRQOL). There are few data on the effectiveness of psychoeducational interventions for CSA patients that target HRQOL‐related outcomes. Aim To determine the effectiveness of psychoeducational interventions for CSA management based on the best available evidence. Methods A systematic review of randomized controlled trials (RCTs) testing the effects of psychoeducational interventions on angina symptoms, angina symptom‐related distress, and physical functioning was conducted. Four primary studies (1994–97) were included that had (a) specified treatment and control conditions, (b) participants with anigna class I‐III (Canadian Cardiovascular Society) and (c) psychoeducational interventions. These studies were reviewed for methodological rigour. A pooled common effect could not be determined because of heterogeneity of outcomes, measures and analyses. Results While positive effects were reported, methodological problems with respect to sampling, randomization, controls and measurement precluded generalization. Conclusion The effectiveness of psychoeducation interventions for improving angina outcomes is inconclusive. Future RCTs of psychoeducational programmes require methodologically robust methods to reduce biases and random error, and to enhance the generalizability of findings for CSA management.