Newlin Lew Kelley, Nowlin Sarah, Chyun Deborah, Melkus Gail D'Eramo
University of Connecticut, Storrs, USA
New York University, USA.
West J Nurs Res. 2014 Oct;36(9):1111-57. doi: 10.1177/0193945914532033. Epub 2014 May 7.
Over the past decade, diabetes self-management (DSM) interventions have become increasingly heterogeneous to address the needs of diverse populations. The purpose of this integrative review is to summarize the state of the science regarding DSM interventions led by nurse principal investigators. The Preferred Reporting Items of Systematic Reviews and Meta-Analyses framework informed identification, selection, and appraisal of the literature. A total of 44 national and international studies (RCTs [randomized controlled trial] and quasi-experimental studies) were identified for inclusion. Across national studies, diverse ethnic groups (Latinos, African Americans, Asians, and Native Americans) were most frequently sampled (67%). Review findings identified (a) DSM intervention typologies (primary DSM intervention, DSM reinforcement intervention, and primary DSM intervention plus reinforcement intervention) and selection of blended or bundled intervention components; (b) DSM intervention translation to community-based, electronic, and home settings; and (c) DSM intervention delivery (interventionists, dosages, and fidelity).
在过去十年中，糖尿病自我管理（DSM）干预措施变得越来越多样化，以满足不同人群的需求。本综合综述的目的是总结由护士主要研究者主导的DSM干预措施的科学现状。系统评价和荟萃分析的首选报告项目框架为文献的识别、选择和评估提供了指导。共确定了44项国内和国际研究（随机对照试验[RCT]和准实验研究）纳入其中。在国内研究中，不同种族群体（拉丁裔、非裔美国人、亚洲人和美洲原住民）的抽样最为频繁（67%）。综述结果确定了：（a）DSM干预类型（原发性DSM干预、DSM强化干预以及原发性DSM干预加强化干预）以及混合或捆绑干预成分的选择；（b）DSM干预向社区、电子和家庭环境的转化；以及（c）DSM干预的实施（干预者、剂量和保真度）。
