Effectiveness of nurse-led self-care interventions on quality of life, social support, depression and anxiety among people living with HIV: A systematic review and meta-analysis of randomized controlled trials.

Autor: Huang H; Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, PR China., Zhang X; School of Public Administration, Sichuan University, PR China., Tu L; Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, PR China., Zhang L; Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, PR China., Chen H; Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, PR China. Electronic address: 1366109878@qq.com.
Jazyk: angličtina
Zdroj: International journal of nursing studies [Int J Nurs Stud] 2025 Jan; Vol. 161, pp. 104916. Date of Electronic Publication: 2024 Sep 23.
DOI: 10.1016/j.ijnurstu.2024.104916
Abstrakt: Background: People living with HIV often face challenges related to quality of life, mental health, and social support. Nurse-led self-care interventions have been proposed as a means to address these issues, but their overall effectiveness needs systematic evaluation.
Objectives: To systematically review and meta-analyze the effectiveness of nurse-led self-care interventions on quality of life, social support, depression, and anxiety among people living with HIV.
Design: A systematic review and meta-analysis of randomized controlled trials.
Methods: A systematic search of PubMed, EMBASE, Web of Science (Core Collection), Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, Scopus, and PsycINFO (Ovid) was conducted for articles from inception to May 2024. Two authors independently screened studies and extracted data. Randomized controlled trials that investigated the effects of nurse-led self-care interventions on the quality of life, social support, depression, and anxiety in people living with HIV, published in English, were included. The quality of the included studies was assessed using the revised Cochrane risk-of-bias tool for randomized trials. Meta-analyses were conducted using Review Manager 5.3 and Stata17, and the certainty of evidence was rated using the Grading of Recommendations Assessment, Development, and Evaluation approach.
Results: Nineteen randomized controlled trials published between 2003 and 2024 were included. The meta-analysis showed that compared to the control group, nurse-led self-care interventions significantly improved quality of life (SMD = 0.45, 95 % CI: 0.07 to 0.84, P < 0.05) and reduced depression (SMD = -0.46, 95 % CI: -0.75 to -0.17, P < 0.001; RR = 0.80, 95 % CI: 0.68 to 0.94, P < 0.05). The impact on social support was not statistically significant (SMD = -0.02, 95 % CI: -0.25 to 0.22, P = 0.89). Only two studies reported beneficial effects on anxiety, indicating a need for further high-quality research.
Conclusion: Nurse-led self-care interventions effectively improve the quality of life and reduce depression in people living with HIV, but current evidence shows these interventions have little impact on social support. The evidence regarding anxiety is limited, indicating a need for more rigorous research to explore the potential benefits of these interventions for anxiety in people living with HIV. These findings support the inclusion of nurse-led self-care interventions in routine HIV care to enhance the well-being of people living with HIV.
Registration Number: (PROSPERO): CRD42024548592.
Competing Interests: Declaration of competing interest Hong Chen reports financial support was provided by Sichuan Province Science and Technology Support Program. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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