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冠心病患者健康行为改变的患者教育干预措施:一项系统评估和元分析方案
Author(s) -
Shi Wendan,
Ghisi Gabriela L. M.,
Hyun Karice,
Zhang Ling,
Gallagher Robyn
Publication year - 2021
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14656
Subject(s) - medicine , funnel plot , cinahl , meta analysis , medline , psychological intervention , publication bias , psycinfo , randomized controlled trial , systematic review , physical therapy , nursing , political science , law
Abstract Aim To assess the efficacy of structured patient education on disease‐related knowledge and health behaviour change outcomes in adults with coronary heart disease. Design Systematic review and meta‐analyses including meta‐regression on education duration. Methods Seven databases (including Medline, Pubmed (non‐Medline), CINAHL, PsycINFO, Embase, Emcare and Cochrane central register of controlled trials) will be searched from inception through 2020 to identify relevant randomized controlled trials testing interventions to improve health behaviours and disease‐related knowledge in adults with coronary heart disease. Risk for bias will be assessed using the Cochrane Risk for Bias tool. Data will be synthesized using random‐effects meta‐analyses in Comprehensive Meta‐Analysis Version 3. Heterogeneity will be assessed using Cochrane's Q statistic and the I‐squared statistic will be reported. Meta‐regression will be used to determine the effect of intervention duration. Publication bias will be assessed using funnel plots and Egger's test and which will be adjusted by conducting the trim‐and‐fill test when necessary. Funding for this project began in March 2020. Discussion We will examine knowledge and behaviour outcomes including physical activity, dietary habits, smoking and medication adherence for patients with coronary heart diseases. This review will be the most comprehensive meta‐analysis of structured patient education interventions to date and the first to analyse the effect of education duration. Impact The efficacy of patient education on knowledge and behaviour outcomes for patients with coronary heart diseases has not yet been established. This systematic review will determine the efficacy of structured patient education on knowledge and behaviour outcomes and determine whether the duration of patient education influences patient outcomes and thus guide intervention design. PROSPERO registration Number: CRD42020173467.