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Intervention Effect of Pender’s Model on Mental Health of Patients With Diabetes Mellitus: A Meta-analysis

      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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