同伴支持干预对 2 型糖尿病患者糖尿病困扰的影响：系统评价和荟萃分析。
Effect of peer support intervention on diabetes distress in people with type 2 diabetes: A systematic review and meta-analysis.
机构信息
School of Nursing, Chongqing Medical University, Chongqing, China.
Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
出版信息
Int J Nurs Pract. 2020 Oct;26(5):e12830. doi: 10.1111/ijn.12830. Epub 2020 Mar 13.
AIMS
To assess the effect of peer support intervention on diabetes distress in people with type 2 diabetes.
BACKGROUND
Diabetes distress may be decreased by peer support intervention, but findings about the effect of peer support on diabetes distress have been mixed.
DESIGN
A systematic review and meta-analysis of randomized controlled studies.
DATA SOURCES
PubMed, Embase, CENTRAL, PsycINFO, Web of Science, and CINAHL databases were searched for randomized controlled trials from inception to 30 June 2018.
REVIEW METHODS
Investigators assessed eligibility, extracted data, and assessed methodological quality. Standardized mean difference and 95% confidence intervals were calculated for pooled effect size.
RESULTS
A total of 13 studies included in systematic review and 10 in meta-analysis. In the random-effects model, the pooled effect size showed current peer support intervention did not significantly reduce diabetes distress in type 2 diabetes population compared with usual care.
CONCLUSION
High quality and well-designed studies targeting at reducing diabetes distress are needed to further test the effect of peer support intervention on diabetes distress.
目的
评估同伴支持干预对 2 型糖尿病患者糖尿病困扰的影响。
背景
同伴支持干预可能会降低糖尿病困扰，但关于同伴支持对糖尿病困扰影响的研究结果存在差异。
设计
系统评价和荟萃分析的随机对照研究。
资料来源
从建库到 2018 年 6 月 30 日，检索了 PubMed、Embase、CENTRAL、PsycINFO、Web of Science 和 CINAHL 数据库中的随机对照试验。
评价方法
研究者评估了纳入研究的资格、提取了数据并评估了方法学质量。采用标准化均数差和 95%置信区间计算汇总效应量。
结果
系统评价纳入了 13 项研究，荟萃分析纳入了 10 项研究。在随机效应模型中，与常规护理相比，当前的同伴支持干预对 2 型糖尿病患者的糖尿病困扰没有显著降低。
结论
需要高质量和精心设计的研究来进一步检验同伴支持干预对糖尿病困扰的影响，以减少糖尿病困扰。
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