The characteristics and efficacy of educational nurse-led interventions in the management of children with atopic dermatitis - An integrative review.

Autor: Brunner C; Pediatric Skin Center, Skin, and Wound management, University Children's Hospital of Zurich, Zurich, Switzerland; Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Zurich, Switzerland; Graduate School for Health Sciences, University of Bern, Switzerland. Electronic address: Corinne.Brunner@kispi.uzh.ch., Theiler M; Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Zurich, Switzerland; Pediatric Skin Center, Dermatology Department, University Children's Hospital of Zurich, Zurich, Switzerland., Znoj H; Department of Health Psychology and Behavioral Medicine, Institute of Psychology, University of Bern, Bern, Switzerland., Holzer S; Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Zurich, Switzerland; Department of Nursing Science, University Children's Hospital of Zurich, Zurich, Switzerland., Seliner B; Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Zurich, Switzerland; Department of Nursing Science, University Children's Hospital of Zurich, Zurich, Switzerland.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2023 Nov; Vol. 116, pp. 107936. Date of Electronic Publication: 2023 Aug 09.
DOI: 10.1016/j.pec.2023.107936
Abstrakt: Objective: This integrative review investigates the modalities, characteristics, and efficacy of educational nurse-led interventions for parents of children with atopic dermatitis (AD).
Methods: We conducted an integrative review with the following inclusion criteria: Quantitative, qualitative and mixed-method studies written in English or German and published between 1 January 2000 and 31 December 2021. We searched for entirely nurse-led interventions.
Results: Four RCTs, three pre-post studies without control groups, and one post-test study without control group met the inclusion criteria. Nurse-led interventions were found to have medium to large positive effect sizes on disease severity, and none to large positive effects on quality of life. There was significant heterogeneity across study designs with a wide variety in educational interventions and outcome measures used. The quality of most included studies was low.
Conclusion: Nurse-led educational interventions for parents of children with AD are beneficial in reducing disease severity. However, it remains unclear, which main components of the nurse-led intervention are most effective.
Practice Implications: Based on the results of this review, we think that trained and qualified nurses who are part of the entire treatment of children with AD and do as well educational interventions have the greatest potential to improve outcomes.
Competing Interests: Declaration of Competing Interest Corinne Brunner, Hansjoerg Znoj, Sarah Holzer and Brigitte Seliner have nothing to disclose. Martin Theiler received honoraria from Pfizer and Eli Lilly for investigator services, and from Sanofi-Aventis, Leo, and Pfizer for participation in advisory boards and for consultancy.
(Copyright © 2023. Published by Elsevier B.V.)
Databáze: MEDLINE
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