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自我管理计划在糖尿病管理中的有效性:一项系统综述。

Effectiveness of self-management programmes in diabetes management: A systematic review.

作者信息

Vas Aldrin, Devi Elsa Sanatombi, Vidyasagar Sudha, Acharya Raviraja, Rau Nileshwar Radhakrishna, George Anice, Jose Tessy, Nayak Baby

机构信息

Manipal College of Nursing, Manipal University, Manipal, India.

Department of Medicine, Kasturba Hospital, Manipal, India.

出版信息

Int J Nurs Pract. 2017 Oct;23(5). doi: 10.1111/ijn.12571. Epub 2017 Jul 31.

DOI:10.1111/ijn.12571
PMID:28758701
Abstract

BACKGROUND

Diabetes is a major noncommunicable disease, which is increasing, and approximately 415 million people are affected around the globe. Since diabetes is a lifelong disease, patients require better understanding and knowledge of the condition to become self-reliant in making diabetes-related decisions.

AIMS

This systematic review was performed to assess the effectiveness of diabetes self-management programs in people with type 2 diabetes.

METHODS

A comprehensive literature search was undertaken to identify all published English language articles through EBSCO discovery services in the following electronic database: Science Direct, CINAHL Plus with Full Text, MEDLINE, and Access Medicine. Studies were published from January 2000 to October 2015. The initial search retrieved 37 566 studies and based on the inclusion criteria, 14 studies were selected for review.

RESULTS

Of 14 studies, most findings favoured diabetes self-management. But the overall effectiveness of individual interventions was not conclusive. A wide variety of interventions was used including diabetes education as a major component in self-management programs.

CONCLUSION

Interventions used varied strategies in differing composition, and further work is needed to find out the effectiveness of individual interventions.

摘要

背景

糖尿病是一种主要的非传染性疾病,其发病率正在上升,全球约有4.15亿人受其影响。由于糖尿病是一种终身疾病,患者需要更好地了解和认识这种疾病,以便在做出与糖尿病相关的决策时能够自力更生。

目的

进行这项系统评价以评估糖尿病自我管理项目对2型糖尿病患者的有效性。

方法

通过EBSCO发现服务在以下电子数据库中进行全面的文献检索,以识别所有已发表的英文文章:科学Direct、CINAHL Plus全文数据库、MEDLINE和Access Medicine。研究发表于2000年1月至2015年10月。初步检索获得37566项研究,根据纳入标准,选择了14项研究进行综述。

结果

在14项研究中,大多数结果支持糖尿病自我管理。但个别干预措施的总体有效性尚无定论。使用了各种各样的干预措施,包括将糖尿病教育作为自我管理项目的主要组成部分。

结论

所采用的干预措施在不同的组成中使用了不同的策略,需要进一步开展工作以确定个别干预措施的有效性。

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