Owen Claire, Woodward Sue
Nightingale School of Nursing and Midwifery, King’s College London.
Br J Nurs. 2012;21(4):224, 226-28, 230-2. doi: 10.12968/bjon.2012.21.4.224.
This literature review examines the evidence base behind Dose Adjustment for Normal Eating (DAFNE), an educational programme for the self-management of type 1 diabetes. The Cumulative Index to Nursing and Allied Health Literature (CINAHL), British Nursing Index (BNI), Embase and Medline databases were accessed to locate relevant studies. Twelve studies were found to meet the review criteria. These provide evidence that DAFNE can help people with type 1 diabetes to achieve better glycaemic control and improve their quality of life. However, DAFNE-induced improvements in glycaemic control tend to reduce as time elapses since programme attendance and literature on the long-term effectiveness is limited. More research is needed to determine whether the benefits last in the long term and to identify how its positive effects can be maintained.
这篇文献综述探讨了“正常饮食剂量调整”（DAFNE）背后的证据基础，DAFNE是一项针对1型糖尿病自我管理的教育项目。通过访问护理及相关健康文献累积索引（CINAHL）、英国护理索引（BNI）、Embase和Medline数据库来查找相关研究。发现有12项研究符合综述标准。这些研究表明，DAFNE可以帮助1型糖尿病患者实现更好的血糖控制并改善生活质量。然而，自参加该项目后，随着时间推移，DAFNE带来的血糖控制改善效果往往会减弱，且关于其长期有效性的文献有限。需要更多研究来确定这些益处是否能长期持续，并确定如何维持其积极效果。
