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[2型糖尿病患者群体教育干预的系统评价]

[Systematic review of group educational interventions in type-2 diabetes patients].

作者信息

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

机构信息

Gerencia Atención Primaria Area 9, Servicio Madrileño de Salud, Madrid, Spain.

出版信息

Aten Primaria. 2005 Dec;36(10):573-5. doi: 10.1016/s0212-6567(05)70569-2.

DOI:10.1016/s0212-6567(05)70569-2
PMID:16507293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7684478/
Abstract

OBJECTIVES

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.

DESIGN

Systematic review.

DATA SOURCES

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).

REVIEW METHODS

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.

摘要

目的

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。

设计

系统评价。

数据来源

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。

变量结果

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)。

综述方法

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。

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Meta-analysis of randomized educational and behavioral interventions in type 2 diabetes.2型糖尿病随机教育与行为干预的荟萃分析
Diabetes Educ. 2003 May-Jun;29(3):488-501. doi: 10.1177/014572170302900313.
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Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control.2型糖尿病成人患者的自我管理教育:对血糖控制影响的荟萃分析
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Diabetes Care. 2002 Feb;25(2):269-74. doi: 10.2337/diacare.25.2.269.
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In diabetes care, moving from compliance to adherence is not enough. Something entirely different is needed.在糖尿病护理中,从依从性转变为坚持性是不够的。还需要一些截然不同的东西。
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