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.
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.
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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