Department of Nursing Science, Chungbuk National University, 1 Chungdae-ro, Seowon-gu, Cheongju 28644, Korea.
College of Nursing, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea.
Int J Environ Res Public Health. 2021 Dec 3;18(23):12750. doi: 10.3390/ijerph182312750.
As the diabetic population increases, self-management of diabetes, a chronic disease, is important. Given that self-management nursing interventions using various techniques have been developed, an analysis of their importance is crucial. This study aimed to identify the overall effects of self-management nursing interventions on primary (HbA1c) and secondary (self-care, self-efficacy, fasting blood sugar level blood pressure, lipid, body mass index, waist circumference, distress, anxiety, depression, and quality of life) outcomes in diabetes. Systematic review and meta-analysis were used. The meta-analysis involved the synthesis of effect size; tests of homogeneity and heterogeneity; trim and fill plot; Egger's regression test; and Begg's test for assessing publication bias. The overall effect on HbA1c was -0.55, suggesting a moderate effect size, with HbA1c decreasing significantly after nursing interventions. Among the nursing interventions, the overall effect on HbA1c of nurse management programs, home visiting, and customized programs was -0.25, -0.61, and -0.65, respectively, a small or medium effect size, and was statistically significant. Healthcare professionals may encourage people with diabetes to engage in self-management of their glucose levels, such as patient-centered customized intervention. Interventions that reflect the individual's characteristics and circumstances are effective in enabling self-management.
随着糖尿病患者人数的增加，糖尿病这种慢性病的自我管理变得尤为重要。鉴于已经开发出了各种技术的自我管理护理干预措施，对其重要性进行分析至关重要。本研究旨在确定自我管理护理干预措施对糖尿病患者的主要（HbA1c）和次要（自我护理、自我效能、空腹血糖水平、血压、血脂、体重指数、腰围、苦恼、焦虑、抑郁和生活质量）结局的综合影响。使用了系统评价和荟萃分析。荟萃分析涉及效应量的综合；同质性和异质性检验；修剪和填充图；Egger 回归检验；和 Begg 检验评估发表偏倚。HbA1c 的总体效应为-0.55，表明具有中等效应量，护理干预后 HbA1c 显著降低。在护理干预中，护士管理方案、家访和定制方案对 HbA1c 的总体影响分别为-0.25、-0.61 和-0.65，为小或中等效应量，且具有统计学意义。医疗保健专业人员可以鼓励糖尿病患者进行血糖的自我管理，例如以患者为中心的定制干预。反映个人特征和情况的干预措施对于实现自我管理是有效的。
Zotero 插件
