The Effectiveness of Nursing Rehabilitation Interventions on Self-Care for Older Adults with Respiratory Disorders: A Systematic Review with Meta-Analysis
Ribeiro, R.
;
Oliveira, H.
; Goes, M.
; Gonçalves, C.
; Dias, A.
; Fonseca, C.
International Journal of Environmental Research and Public Health Vol. 20, Nº 14, pp. 6422 - 6422, July, 2023.
ISSN (print): 1661-7827
ISSN (online): 1660-4601
Scimago Journal Ranking: 0,81 (in 2023)
Digital Object Identifier: 10.3390/ijerph20146422
Abstract
Background: This research work aimed to summarize the rehabilitation nursing interventions published in the scientific literature that most contribute to effective adherence to self-care in older adults with respiratory diseases. Methods: A systematic literature review with meta-analysis was conducted by searching the EBSCOhost platform (CINAHL Complete, MEDLINE Complete, Cochrane, and MedicLatina) using the PRISMA methodology. Five articles were selected for final analysis. Meta-analysis was carried out using Comprehensive Meta-Analysis (CMA) software, and the results were presented in a forest plot. Results: Thirty-one self-promoting rehabilitation nursing interventions were identified, with the most effective being those related to the assessment of progress in physical capacity/activity tolerance (functional status category/domain) and the assessment of the increase in health-related quality of life (health-related quality of life category/domain). Conclusions: Rehabilitation nursing interventions such as self-management programs led by nurses, community-based and home-based rehabilitation programs, and inspiratory muscle training can effectively reduce and enable the effective control of symptoms associated with respiratory disorders, boosting older adults’ empowerment to engage in self-care.