Abstract
Objective
Our aim in this study was to better understand the intervention effect of Pender’s
model on the physical and mental health of patients with diabetes mellitus.
Methods
According to the principle of Preferred Reporting Items for Systematic Reviews and
Meta-Analyses guidelines, various databases, including CNKI, Wanfang Data, SinoMed,
VIP, Web of Science, Cochrane, PubMed and ScienceDirect, were searched to collect
and select relevant reports for the implementation of a meta-analysis.
Results
Ten randomized controlled trials in 6 foreign reports and 4 Chinese reports were included
in this study. A total of 863 participants were involved, including 439 in the experimental
group and 424 in the control group. Results of the meta-analysis show that Pender’s
model has a good intervention effect on the health knowledge (Z=3.371, p<0.050), self-management
behaviour (Z=3.781, p<0.050), and psychological function (Z=2.902, p<0.050) of patients
with diabetes mellitus as compared to the control group. The subgroup analysis showed
that the intervention effect on self-management behaviour would not be affected by
the measurement tool used (Z=3.295, p=0.001).
Conclusions
Pender’s model showed a good intervention effect on the health knowledge, self-management
behaviour and psychological function of patients with diabetes mellitus.
Résumé
Objectifs
L’objectif de notre étude était de mieux comprendre les effets de l’intervention selon
le modèle de Pender sur la santé physique et mentale des patients atteints du diabète
sucré.
Méthodes
Conformément aux principes des lignes directrices PRISMA (de l’anglais, Preferred
Reporting Items for Systematic Reviews and Meta-Analyses), nous avons effectué des
recherches dans les diverses bases de données, notamment CNKI, Wanfang Data, SinoMed,
VIP, Web of Science, Cochrane, PubMed et ScienceDirect, pour collecter et sélectionner
les rapports pertinents sur la mise en œuvre d’une méta-analyse.
Résultats
Nous avons retenu 10 essais comparatifs à répartition aléatoire, soit 6 rapports étrangers
et 4 rapports chinois, pour cette étude. Un total de 863 participants ont participé
à l’étude, soit 439 dans le groupe expérimental et 424 dans le groupe témoin. Les
résultats de la méta-analyse montrent que le modèle de Pender a des effets d’intervention
satisfaisants sur les connaissances en matière de santé, les comportements d’autoprise
en charge, le fonctionnement psychologique des patients atteints du diabète sucré,
et des effets supérieurs à ceux observés dans le groupe témoin (Z = 3,371 ; 3,781 ;
2,902 ; p < 0,050). L’analyse en sous-groupes a montré que l’outil de mesure utilisé
(Z = 3,295 ; p = 0,001) n’influençait pas les effets de l’intervention sur les comportements
d’autoprise en charge.
Conclusions
Le modèle de Pender a montré de effets d’intervention satisfaisants sur les connaissances
en matière de santé, les comportements d’autoprise en charge et le fonctionnement
psychologique des patients atteints du diabète sucré.
Keywords
Mots clés
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Article Info
Publication History
Published online: May 11, 2022
Accepted:
May 1,
2022
Received in revised form:
April 29,
2022
Received:
October 5,
2021
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Canadian Diabetes Association.