Azami Golnaz, Soh Kim Lam, Sazlina Shariff-Ghazali, Salmiah Mohd Said, Aazami Sanaz
1Department of Nursing and Rehabilitation, Faculty of Medicine and Health Sciences, University Putra Malaysia (UPM), 43400 Serdang, Selangor Malaysia.
2Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Science, Ilam, IR 693917714 Iran.
J Diabetes Metab Disord. 2018 Nov 27;17(2):365-380. doi: 10.1007/s40200-018-0376-0. eCollection 2018 Dec.
The aim of this study was to systematically-review published experimental studies to determine the effectiveness of behavioral interventions on self-management in Iranian adults with type 2 diabetes.
Pub Med, Web of Science, Science Direct, Ovid Medline, EBSCO, ProQuest, Google Scholar, and the Scientific Information Database (SID) were searched for English and Persian language studies published between 2009 and 2017. The primary outcome of this review was to assess the effects of behavioral interventions on glycosylated hemoglobin. Changes in the blood pressure, Lipid profiles, BMI, Self-efficacy, knowledge, attitude, practice, Self-care behaviors, social support, anxiety, and depression were the secondary outcomes.
Comprehensive search procedures resulted in twenty-three experimental studies with 2208 participants. Eleven studies were included in the Meta-analysis. Compared with the control group, behavioral interventions significantly lower glycosylated hemoglobin -0.61% (95% CI -0.80, -0.41). To explore the effects of the study intervention (regarding what aspects of the intervention are most effective), we then conducted a stratified analysis for HbA1c. Larger effects were found in interventions with a longer duration and higher intensity, delivered in the group format, interventions offered to individuals with higher baseline HbA1c, and interventions delivered by a multidisciplinary team. Moreover, behavioral interventions were effective in improving blood glucose, lipid profiles, knowledge, attitude, practice, self-efficacy, quality of life, and self-care.
In line with other behavioral studies, our study shows that behavioral interventions improve self-management in Iranian adults with type 2 diabetes.
本研究旨在系统回顾已发表的实验性研究，以确定行为干预对伊朗成年2型糖尿病患者自我管理的有效性。
检索了PubMed、科学网、科学Direct、Ovid Medline、EBSCO、ProQuest、谷歌学术和科学信息数据库（SID），查找2009年至2017年间发表的英文和波斯文研究。本综述的主要结果是评估行为干预对糖化血红蛋白的影响。血压、血脂谱、体重指数、自我效能、知识、态度、实践、自我护理行为、社会支持、焦虑和抑郁的变化为次要结果。
全面的检索程序产生了23项有2208名参与者的实验性研究。11项研究纳入了荟萃分析。与对照组相比，行为干预显著降低糖化血红蛋白-0.61%（95%CI -0.80，-0.41）。为了探讨研究干预的效果（关于干预的哪些方面最有效），我们随后对糖化血红蛋白进行了分层分析。在持续时间更长、强度更高、以小组形式进行、针对基线糖化血红蛋白较高的个体以及由多学科团队实施的干预中发现了更大的效果。此外，行为干预在改善血糖、血脂谱、知识、态度、实践、自我效能、生活质量和自我护理方面有效。
与其他行为研究一致，我们的研究表明行为干预可改善伊朗成年2型糖尿病患者的自我管理。
