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Volume 3 Current Research: Integrative Medicine Chronic Diseases 2018
July 16-17, 2018
Chronic Diseases
July 16-17, 2018 Berlin, Germany
2nd International Conference on
A systematic review and meta-analysis of nursing interventions in patients with chronic diseases
Francisco José Amo Setién1, Roberto Martín Melón1, Laura Ruiz Azcona 1, Angela Fernández Rodríguez1, Rebeca Abajas Bustillo1, Blanca Torres Manrique1,
Carmen Sarabia Cobo1, Jesús Molina Mula2, Rosario Fernández Peña1, Silvia González Gómez3, María Jesús Durá Ros1, Gloria de Alfonso Blanes1, Tamara
Silió Garcia1 and Carmen Ortego Maté1
1University of Cantabria, Spain
2University of Balearic Islands, Spain
3Cantabrian Health Service, Cantabria, Spain
Nurses often perform interventions aimed at improving the Health-Related Quality of Life
(HRQOL) in patients with chronic diseases. However, the amount of information generated,
sometimes contradictory, makes it difficult to interpret the results. This systematic review allows
empirical evidence to be summarized. Thus, the purpose of this study is to determine, through a
systematic review and a meta-analysis, the characteristics of the nursing interventions, performed
in people/patients over 18 years old with chronic diseases, which involve an improvement in their
HRQOL. A literature search was performed in six electronic databases (PubMed, Scopus, WOS,
CINAHL, Web of Science and Cochran) from September until December 2017. Also, bibliographies
of relevant papers and publications were hand searched. Randomized Controlled Trials (RCTs)
and cluster-RCTs, with at least two groups of patients in which a nurse was involved. Two authors
independently reviewed studies for inclusion, extracted data, and assessed study quality with
discrepancies being solved through discussion. In themeta-analysis, Effect Sizes (ESs) were calculated
for each outcome by calculating the standardized mean change for each sample. This systematic
review synthesizes data from 38 studies, published between 2003 and 2015, that provided a sample of
6480 people with a mean age of 68.4 years (SD=8.7). In 60.6% of the interventions a single component
was used, being education the one most commonly used. 72.5% of the interventions were not based
on a theory. The duration of the interventions ranged from 4-104 weeks, with a mean of 12 sessions
and 54.2 minutes/session. SF-36 questionnaire was the most often used to evaluate HRQOL. After
the intervention, most of the studies showed a slight HRQOL improvement (ES=0.1) in the intervention group. It can be concluded
that nurses’ interventions had a little, but significant beneficial effect on HRQOL.
Biography
Francisco José Amo Setién has received PhD in Health Sciences from University of Cantabria in 2017, an inter-university Master’s degree in "Genetic, nutritional
and environmental conditioning factors of growth and development" (UC) and a Nursing degree (UC). He has gained research experience in the field of nutrition,
obesity in children and adolescents with intellectual disabilities, as well as in health related quality of life in patients with chronic diseases and he has been a full-time
Teaching Assistant in the area of community health in the Nursing Department of the University of Cantabria since 2014.
Francisco José Amo Setién et al., Curr Res Integr Med 2018, Volume 3
DOI: 10.4172/2529-797X-C1-003