Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Application of “Partnership Care Model” in Chronically Ill Adults and Children: A Systematic Review and Dose-Response Meta-Analysis of Randomized Controlled Trials Publisher Pubmed



Nasiri M1 ; Yarahmadi F2 ; Ardaneh M3 ; Naghibeiranvand M4 ; Aghili Nasab MS5 ; Zonoori S2 ; Babaei Khomeini M6 ; Torkaman M7 ; Rajabi MR8 ; Rezaei M9 ; Asadi M10 ; Jafari Z4
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Anesthesiology, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Nursing, Broujerd School of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran
  3. 3. Department of Nursing, Behbahan Faculty of Medical Sciences, Behbahan, Iran
  4. 4. Department of Nursing, Islamic Azad University, Khorramabad Branch, Khorramabad, Iran
  5. 5. Department of Gerontological Nursing, School of Nursing, Abadan University of Medical Sciences, Abadan, Iran
  6. 6. Department of Clinical Supervision, Mehr Psychiatric Hospital, Lorestan University of Medical Sciences, Khorramabad, Iran
  7. 7. Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran
  8. 8. Department of Cardiology, School of Medicine, Shahed University, Tehran, Iran
  9. 9. Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Science, Tehran, Iran
  10. 10. Department of Operating Room Nursing, Abadan University of Medical Sciences, Abadan, Iran

Source: Applied Nursing Research Published:2023


Abstract

Background: “Partnership Care Model (PCM)”, which is the first partnership conceptual framework founded on the Iranian culture to control chronic diseases, has been recently used in different fields of nursing research with no levels of valid evidence to support its application. Therefore, this systematic review and meta-analysis sought to clarify the impacts of interventions developed based on PCM on quality of life (QoL), sleep quality, anxiety, and depression among adults and children with chronic diseases. Methods: International data sources (e.g., PubMed, Web of Science, Scopus) and national databases (e.g., SID, MagIran, IranDoc, IRCT) were searched from 2001 to September 23, 2023, to find Randomized Controlled Trials (RCTs) on PCM-driven interventions for the experimental groups versus no intervention or standard care groups. The studies' methodological quality and evidence quality were rated utilizing the Cochrane risk of bias instruction and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Data were pooled by a random-effects approach employing STATA (vers. 11.2). Result: Eighteen RCTs, reported in 22 publications, were qualified. The PCM compared to the standard care significantly improved the QoL among both adults (10 effect sizes [ESs], mean difference [MD]: 3.17, P < 0.001) and children (4 ESs, MD: 4.45, P < 0.001). Likewise, the intervention enhanced adults' sleep quality (3 ESs, MD: 7.15, P < 0.001). The anxiety of adults and children was also significantly lower in the PCM group (4 ESs, MD: −4.52, P = 0.001; 2 ESs, MD: −4.04, P < 0.001, respectively). However, regarding depression, a significant effect of PCM was found only among children (3 ESs, MD: −7.99, P = 0.011). The methodological quality of the studies and the evidence quality were undesirable. Conclusion: The PCM had a promising influence on the caring of adults and children suffering from chronic diseases. However, additional high-quality RCTs are needed to generate a higher quality of evidence concerning the clinical benefits of the PCM. PROSPERO no: CRD42021253790. © 2023
Experts (# of related papers)