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影响2型糖尿病患者自我管理的因素:一项定量系统评价方案

Factors influencing self-management in patients with type 2 diabetes: a quantitative systematic review protocol.

作者信息

Bagnasco Annamaria, Di Giacomo Patrizia, Da Rin Della Mora Roberta, Catania Gianluca, Turci Carlo, Rocco Gennaro, Sasso Loredana

机构信息

Health Sciences Department, University of Genoa, Italy.

Member of the Centre of Excellence for Nursing Scholarship, Rome, Italy.

出版信息

J Adv Nurs. 2014 Jan;70(1):187-200. doi: 10.1111/jan.12178. Epub 2013 Jun 13.

DOI:10.1111/jan.12178
PMID:23763567
Abstract

AIM

To describe a protocol for a quantitative systematic review, to identify critique and summarize factors that influence self-management education.

BACKGROUND

Self-management education enables patients to manage their condition successfully and it is associated with better self-care, good control over lifestyle and leading the best possible quality of life, notwithstanding the presence of a chronic disease. Type II Diabetes is a chronic disease that requires lifestyle adjustments and disease management to keep glycaemia and long-term complications under control. Education has to be customized and based on an assessment that includes factors influencing self-management, such as personal characteristics that can optimize the educational intervention.

DESIGN

The protocol for the systematic review was conducted according to the guidelines of the Centre for Reviews and Dissemination, York (UK).

METHOD

The review question was defined in terms of population, interventions, comparators, outcomes and study designs. The protocol included decisions about the review question, inclusion criteria, search strategy, study selection, data extraction, quality assessment, data synthesis and plans for dissemination. Funding for the review was confirmed on January 2011 by the Centre of Excellence for Nursing Scholarship in Rome.

DISCUSSION

An initial summary will be made by tabulating the data; the review will be reported in a narrative style and be developed according to the PRISMA guidelines. The protocol for the systematic review will allow us to identify, among the factors influencing self-management in people with Type II diabetes, the personal characteristics most relevant to the factors of motivation and empowerment. In addition, the systematic review will also identify an appropriate self-management model.

摘要

目的

描述一项定量系统评价的方案,以识别、批判并总结影响自我管理教育的因素。

背景

自我管理教育能使患者成功管理自身病情,且与更好的自我护理、对生活方式的良好控制以及尽可能好的生活质量相关,即便患有慢性病。2型糖尿病是一种需要调整生活方式和进行疾病管理以控制血糖及长期并发症的慢性病。教育必须是量身定制的,并基于包括影响自我管理的因素(如可优化教育干预的个人特征)在内的评估。

设计

系统评价方案依据英国约克市评审与传播中心的指南制定。

方法

从人群、干预措施、对照、结局和研究设计方面界定了综述问题。该方案涵盖了关于综述问题、纳入标准、检索策略、研究选择、数据提取、质量评估、数据综合以及传播计划的决策。2011年1月,罗马护理奖学金卓越中心确认了该综述的资金。

讨论

将通过列表对数据进行初步总结;综述将以叙述方式呈现,并根据PRISMA指南编写。系统评价方案将使我们能够在影响2型糖尿病患者自我管理的因素中,识别出与动机和赋权因素最相关的个人特征。此外,系统评价还将确定一种合适的自我管理模式。

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