文章简介

出版社:Patient Education and Counseling

作   者:Marie Hamilton Larsen, Kare Birger Hagen, Anne-Lene Krogstad, Eline Aas, Astrid Klopstad Wahl

编   号:

年   份:2014    点击量:520

文章摘要 全文翻译

Abstract:

摘要:

Objective:

To describe the contents of educational and self-management programmes for patients with psoriasis, and to evaluate their effects.

目的:

旨在描述银屑病患者教育和自我管理方案的内容,评价其效果。

Methods:

A systematic review of randomized controlled trials (RCTs), quasi-randomized trials and controlled clinical trials identified by a systematic literature search. Risk of bias was assessed by two independent reviewers and interventional effects were summarized descriptively and by meta-analysis.

方法:

系统性回顾随机对照试验(RCT)、半随机对照试验和临床对照试验。两个独立的审阅者对偏见的风险进行了评估,对干预效果进行了描述性总结并对此进行了荟萃分析。

Results:

Nine studies were included, which ranged from single brief interventions to long complex multidisciplinary programmes. Four RCTs with adequate sequence allocation were included to analyze interventional effects. One RCT compared two different educational programmes and found no differences between groups. The results of three trials that focused on combinations of education and self-management were heterogeneous. One RCT based on a 12-week comprehensive programme reported statistically significant effects (p < 0.05) on disease severity and health-related quality of life. Two RCTs with less comprehensive programmes reported no effects on HRQoL.

结果:

共纳入九项研究,包括了从单一的简短干预措施到长期复杂的跨学科方案。四个有合适顺序分配的随机对照试验被纳入本项研究以用来分析干预效果。一个随机对照试验比较了两种不同的教育方案,发现两组间无显著差异。三个侧重于教育和自我管理组合的随机对照试验结果各不相同。一项基于12周综合方案的随机对照试验报道了在其对疾病严重程度和健康相关的生活质量疗效上存在统计学意义(p < 0.05)。较少综合方案的两个随机对照试验发现其对健康相关生活质量无影响。

Conclusion:

This review showed that little evidence is available to support the effects of educational and self-management interventions in patients with psoriasis that are studied in RCTs. There is a significant lack of focused self-management and, compared with other chronic conditions, there appear to be few effective disease-specific tailored educational programmes for psoriasis.

结论:

该综述表明没有随机对照试验证据能够支持银屑病患者中教育和自我管理干预的效果。银屑病患者显著缺乏针对性自我管理,并且与其他慢性疾病相比,银屑病几乎没有有效的针对具体疾病定制的教育方案。