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改善重症精神疾病患者的糖尿病护理:干预效果的系统评价

Improving diabetes care among patients with severe mental illness: A systematic review of the effect of interventions.

作者信息

Grøn A O, Dalsgaard E-M, Ribe A R, Seidu S, Mora G, Cebrián-Cuenca A M, Charles M

机构信息

Section for General Medical Practice, Department of Public Health, Aarhus University, Denmark; Research Unit for General Practice, Department of Public Health, Aarhus University, Denmark.

Section for General Medical Practice, Department of Public Health, Aarhus University, Denmark; Research Unit for General Practice, Department of Public Health, Aarhus University, Denmark.

出版信息

Prim Care Diabetes. 2018 Aug;12(4):289-304. doi: 10.1016/j.pcd.2018.03.008. Epub 2018 Apr 27.

DOI:10.1016/j.pcd.2018.03.008
PMID:29709403
Abstract

BACKGROUND AND AIM

Individuals with severe mental illness (SMI) who suffer from type 2 diabetes (T2DM) are likely to be sub-optimally treated for their physical condition. This study aimed to review the effect of interventions in this population.

METHODS

A systematic search in five databases was conducted in July 2017.

RESULTS

Seven studies on multi-faced interventions were included. These comprised nutrition and exercise counselling, behavioural modelling and increased disease awareness aiming to reduce HbA1c, fasting plasma glucose, body mass index and weight.

CONCLUSION

Non-pharmacologic interventions in individuals with SMI and T2DM could possibly improve measures of diabetes care, although with limited clinical impact.

摘要

背景与目的

患有2型糖尿病(T2DM)的重度精神疾病(SMI)患者,其身体状况可能未得到最佳治疗。本研究旨在综述针对该人群干预措施的效果。

方法

2017年7月在五个数据库中进行了系统检索。

结果

纳入了七项关于多方面干预措施的研究。这些措施包括营养与运动咨询、行为示范以及提高疾病认知,旨在降低糖化血红蛋白(HbA1c)、空腹血糖、体重指数和体重。

结论

对患有SMI和T2DM的个体进行非药物干预可能会改善糖尿病护理指标,尽管临床影响有限。

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