Department of Health Care Management, Technical University of Berlin, Berlin, Germany.
Division of Tropical and Humanitarian Medicine, University of Geneva and Geneva University Hospitals, Genève, Switzerland.
BMC Public Health. 2018 Sep 29;18(1):1148. doi: 10.1186/s12889-018-6050-0.
The prevalence of diabetes in sub-Saharan Africa has increased rapidly over the last years. Self-management is a key element for the proper management, but strategies are currently lacking in this context. This systematic review aims to describe the level of self-management among persons living with type 2 diabetes mellitus in sub-Saharan Africa.
Relevant databases including PubMed, Web of Science and Google Scholar were searched up to September 2016. Studies reporting self-management behavior of people with type 2 diabetes mellitus and living in sub-Saharan Africa were included.
A total of 550 abstracts and 109 full-text articles were assessed. Forty-three studies, mainly observational, met the inclusion criteria. The studies showed that patients rarely self-monitored their glucose levels, had low frequency/duration of physical activity, moderately adhered to recommended dietary and medication behavior, had poor level of knowledge regarding diabetes related complications and sought traditional or herbal medicines beside of their biomedical treatment. The analysis also revealed a lack of studies on psychosocial aspects.
Except for the psychosocial area, there is a good amount of recent studies on self-management behavior of type 2 diabetes mellitus sub-Saharan Africa. These studies indicate that self-management in sub-Saharan Africa is poor and therefore a serious threat to the health of individuals and the health systems capacity.
近年来，撒哈拉以南非洲的糖尿病患病率迅速上升。自我管理是适当管理的关键要素，但目前在这方面缺乏策略。本系统评价旨在描述撒哈拉以南非洲 2 型糖尿病患者的自我管理水平。
截至 2016 年 9 月，检索了包括 PubMed、Web of Science 和 Google Scholar 在内的相关数据库。纳入了报告 2 型糖尿病患者自我管理行为并居住在撒哈拉以南非洲的研究。
共评估了 550 篇摘要和 109 篇全文文章。符合纳入标准的有 43 项观察性研究。这些研究表明，患者很少自我监测血糖水平，体力活动的频率/持续时间低，对推荐的饮食和药物行为的依从性中等，对糖尿病相关并发症的知识水平较差，并且在接受生物医学治疗的同时寻求传统或草药药物。分析还显示缺乏对社会心理方面的研究。
除了社会心理领域外，最近还有大量关于撒哈拉以南非洲 2 型糖尿病自我管理行为的研究。这些研究表明，撒哈拉以南非洲的自我管理水平较差，因此严重威胁到个人健康和卫生系统的能力。
