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Effectiveness of nurse-delivered patient education interventions on quality of life in outpatients: A systematic review

机译:护士提供的患者教育干预措施对门诊患者生活质量的有效性:系统评价

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Background: Nursing education is a crucial part of nursing practice; however, evidence regarding its impact on quality of life is lacking. No review has addressed the effects of overall nursing education interventions on the quality of life in a general outpatient population. Objectives: The objective of this study is to evaluate the effectiveness of nurse-delivered education interventions compared with usual care with regard to the quality of life of outpatients. Methods: A systematic search was performed to identify randomized controlled trials that examined the effects of nurse-delivered educational interventions on the quality of life of outpatients. The search was performed in December 2012 in the MEDLINE (via PubMed), EMBASE (via Ovid), and CINAHL (via EBSCO) databases and was limited with regard to publication time and language. The studies were appraised according to methodological quality, and p values were extracted to determine the effectiveness of the interventions. Results: Twenty-nine studies were included in the review. Approximately 70% of the studies included showed no effects on quality of life. The studies that showed positive effects each used different types of interventions. A methodological appraisal revealed biases in most of the studies. Conclusions and Implications of Key Findings: Because of an overall lack of effectiveness and heterogeneity between studies, no evidence for the effectiveness of nursing education interventions in outpatients was observed. Further studies should examine interventions that focus on quality of life using validated measures.
机译:背景:护理教育是护理实践的重要组成部分。但是,缺乏有关其对生活质量影响的证据。没有评论谈到整体护理教育干预措施对普通门诊患者生活质量的影响。目的:本研究的目的是就门诊病人的生活质量与常规护理相比,评估护士提供的教育干预措施的有效性。方法:进行系统搜索,以鉴定随机对照试验,该试验检查了护士提供的教育干预措施对门诊病人生活质量的影响。搜索是在2012年12月在MEDLINE(通过PubMed),EMBASE(通过Ovid)和CINAHL(通过EBSCO)数据库中进行的,并且在发布时间和语言方面受到限制。根据方法学质量对研究进行评估,并提取p值以确定干预措施的有效性。结果:29项研究被纳入评价。约有70%的研究对生活质量没有影响。显示积极效果的研究均使用了不同类型的干预措施。方法学评估显示,大多数研究存在偏见。主要发现的结论和意义:由于研究之间总体上缺乏有效性和异质性,因此没有观察到门诊护理教育干预措施有效的证据。进一步的研究应使用经过验证的措施来检查注重生活质量的干预措施。

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