Sanz-Cuesta T, Del Cura-González M I, Azcoaga-Lorenzo A, González-González A I, Tello-Bernabé M E, Rodríguez-Gabriel G, Artola-Méndez S, Girbés-Fontana M, López A
Gerencia Atención Primaria Area 9, Servicio Madrileño de Salud, Madrid, Spain.
Aten Primaria. 2005 Dec;36(10):573-5. doi: 10.1016/s0212-6567(05)70569-2.
To evaluate the effect of group educational interventions in type-2 diabetes patients. To analyse what kind of group intervention has the best long-term effects.
Systematic review.
Review of electronic data bases: CENTRAL, MEDLINE, EMBASE, CINAHL, and PASCAL, and of the bibliographic references of the studies selected. Contacts with experts to locate non-published articles. Selection of studies. Randomised clinical studies with controls and quasi-experimental studies that evaluate group education interventions aimed at type-2 diabetes patients over 18 years old. These interventions were of any length and in any context, and their target was to improve quality of life, self-control, or metabolic control. The comparison group included individual educational interventions and non-interventions. VARIABLES RESULT: Quality of life, self-control, and diabetes control (HbA1c, cholesterol, triglycerides, blood pressure, and smoking).
Trial selection by 3 groups with 3 researchers in each, who independently reviewed headings, abstracts and key words of all the identified trials to decide on their eligibility. The quality of trials was evaluated by the criteria defined by the Cochrane Metabolic and Endocrine Disorders Group. Researchers assessed the articles independently; and discrepancies were resolved by discussion and consensus.
评估团体教育干预对2型糖尿病患者的效果。分析哪种团体干预具有最佳的长期效果。
系统评价。
检索电子数据库:CENTRAL、MEDLINE、EMBASE、CINAHL和PASCAL,以及所选研究的参考文献。与专家联系以查找未发表的文章。研究选择。针对18岁以上2型糖尿病患者评估团体教育干预的随机对照临床研究和准实验研究。这些干预的时长和背景不限,目标是改善生活质量、自我控制或代谢控制。对照组包括个体教育干预和无干预措施。
生活质量、自我控制和糖尿病控制情况(糖化血红蛋白、胆固醇、甘油三酯、血压和吸烟状况)。
由3组人员进行试验筛选,每组3名研究人员,他们独立审查所有已确定试验的标题、摘要和关键词,以确定其是否符合条件。根据Cochrane代谢和内分泌疾病组定义的标准评估试验质量。研究人员独立评估文章;分歧通过讨论和达成共识来解决。