Kolivand Mitra, Rahimi Mehr Ali, Shariati Mohammad, Keramat Afsaneh, Emamian Mohammad Hassan
Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
Dept. of Reproductive Health, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Iran J Public Health. 2018 Dec;47(12):1805-1815.
This study aimed to evaluate the effect of self-care educational/training interventions on gestational diabetes.
In this review, we searched the ERIC, Clinical Key, Cochrane, Scopus, PubMed, and ISI databases as well as Iranian databases from 1990 until Jan 2017. Having evaluated 3267 articles by three of the authors, 20 clinical trials with educational/training approach remained for analysis. In this study, CONSORT checklist, JADAD scale and Cochrane handbook were used to evaluate the validity of articles.
The quality of 34% of articles was found to be poor due to probability of bias in designing the interventions and the effect of absence of blinding of personnel and participants. However, absence of blinding had a low impact on the results of most studies carried out on objective scales like blood glucose levels, or maternal and neonatal results. Moreover, 66% of studies were assessed to be at a good level of quality.
There are few articles with educational/training approach on self-care in gestational diabetes mellitus, but based on the homogeneity of participants and significant results of self-care interventions, especially lifestyle ones, self-care guidelines can be developed for gestational diabetes mellitus.
本研究旨在评估自我护理教育/培训干预措施对妊娠期糖尿病的影响。
在本综述中，我们检索了教育资源信息中心（ERIC）、临床要点（Clinical Key）、考克兰图书馆（Cochrane）、Scopus、PubMed和科学信息研究所（ISI）数据库以及伊朗的数据库，时间跨度从1990年至2017年1月。在三位作者对3267篇文章进行评估后，剩余20项采用教育/培训方法的临床试验用于分析。在本研究中，使用CONSORT清单、JADAD量表和考克兰手册来评估文章的有效性。
由于干预措施设计中存在偏倚的可能性以及人员和参与者未设盲的影响，34%的文章质量较差。然而，未设盲对大多数基于血糖水平等客观指标或母婴结局开展的研究结果影响较小。此外，66%的研究被评估为质量良好。
关于妊娠期糖尿病自我护理的教育/培训方法的文章较少，但基于参与者的同质性以及自我护理干预措施（尤其是生活方式干预）的显著结果，可以制定妊娠期糖尿病的自我护理指南。
