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Involving caregivers in self-management interventions for patients with heart failure and chronic obstructive pulmonary disease. A systematic review and meta-analysis.
- Source :
-
Journal of advanced nursing [J Adv Nurs] 2019 Dec; Vol. 75 (12), pp. 3331-3345. Date of Electronic Publication: 2019 Sep 03. - Publication Year :
- 2019
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Abstract
- Aim: To quantify the impact of involving caregivers in self-management interventions on health-related quality of life of patients with heart failure or chronic obstructive pulmonary disease.<br />Design: Systematic review, meta-analysis.<br />Data Sources: Searched: Medline Ebsco, PsycINFO, CINAHL, Embase, Web of Science, The British Library and ProQuest. Search time frame; January 1990-March 2018.<br />Review Methods: Randomized controlled trials involving caregivers in self-management interventions (≥2 components) compared with usual care for patients with heart failure or chronic obstructive pulmonary disease. A matched sample based on publication year, geographic location and inclusion of an exercise intervention of studies not involving caregivers were identified. Primary outcome of analysis was patient health-related quality of life.<br />Results: Thirteen randomized controlled trials (1,701 participants: 1,439 heart failure; 262 chronic obstructive pulmonary disease) involving caregivers (mean age 59; 58% female) were identified. Reported patient health-related quality of life measures included; Minnesota Living with Heart Failure questionnaire, St. George's respiratory questionnaire and Short-Form-36. Compared with usual care, there was similar magnitude in mean improvement in patient health-related quality of life with self-management interventions in trials involving caregivers (SMD: 0.23, 95% confidence interval: -0.15-0.61) compared with trials without caregivers (SMD: 0.27, 0.08-0.46).<br />Conclusion: Within the methodological constraints of this study, our results indicate that involving caregivers in self-management interventions does not result in additional improvement in patient health-related quality of life in heart failure or chronic obstructive pulmonary disease. However, involvement of caregivers in intervention delivery remains an important consideration and key area of research.<br />Impact: Greater understanding and awareness is needed of the methodology of caregiver engagement in intervention development and delivery and its impact on patient outcomes.<br /> (© 2019 John Wiley & Sons Ltd.)
Details
- Language :
- English
- ISSN :
- 1365-2648
- Volume :
- 75
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Journal of advanced nursing
- Publication Type :
- Academic Journal
- Accession number :
- 31441088
- Full Text :
- https://doi.org/10.1111/jan.14172