School of Nursing, Chongqing Medical University, Chongqing, China.
The first Affiliated Hospital of Chongqing Medical University, Chongqing, China.
J Adv Nurs. 2019 Apr;75(4):711-722. doi: 10.1111/jan.13870. Epub 2018 Nov 12.
Peer support has been suggested as a promising approach for diabetes management. No conclusive evidence exists on the effects of peer support on self-efficacy and quality of life in adults with type 2 diabetes.
To assess the effectiveness of peer support on self-efficacy and the quality of life in adults with type 2 diabetes.
A systematic review and meta-analysis of randomized controlled studies.
We searched PubMed, Embase, Cochrane Central Register of Controlled Trials and Allied Health Literature database guide for relevant literatures from inception to 30 September 2017.
The review was conducted according to the guidelines of Cochrane Collaboration. The outcomes were self-efficacy and quality of life. The standardized mean difference and 95% confidence intervals were calculated for pooled results.
A total of 15 studies met the inclusion criteria. The pooled results revealed that peer support did not significantly improve self-efficacy and quality of life in adults with type 2 diabetes, but significantly improved self-efficacy and quality of life in studies with intervention duration ≤6 months. There was no evidence of publication bias.
Peer support intervention did not lead to better effects on the improvement in self-efficacy and quality of life among adults with type 2 diabetes. However, peer support with intervention duration not more than 6 months had positive effects on self-efficacy and quality of life. More high-quality studies with large sample size are needed to support or counter the results.
同伴支持被认为是一种有前途的糖尿病管理方法。目前尚无确凿证据表明同伴支持对 2 型糖尿病成人的自我效能和生活质量有影响。
评估同伴支持对 2 型糖尿病成人自我效能和生活质量的影响。
系统评价和随机对照试验的荟萃分析。
我们从建库起至 2017 年 9 月 30 日，检索了 PubMed、Embase、Cochrane 中心对照试验注册库和循证医学数据库指南，以获取相关文献。
本综述按照 Cochrane 协作组的指南进行。结果为自我效能和生活质量。汇总结果计算标准化均数差和 95%置信区间。
共有 15 项研究符合纳入标准。汇总结果显示，同伴支持并不能显著提高 2 型糖尿病成人的自我效能和生活质量，但在干预持续时间≤6 个月的研究中，自我效能和生活质量显著提高。不存在发表偏倚的证据。
同伴支持干预对 2 型糖尿病成人自我效能和生活质量的改善没有更好的效果。然而，干预持续时间不超过 6 个月的同伴支持对自我效能和生活质量有积极影响。需要更多高质量、大样本量的研究来支持或反驳这一结果。
