面向社区居住的老年 2 型糖尿病患者的教育计划：系统评价。

Educational programs in type 2 diabetes designed for community-dwelling older adults: A systematic review.

机构信息

Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain.

Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, University of Santiago de Compostela, Santiago de Compostela, Spain; Research Methods (RESMET), Health Research Institute of Santiago de Compostela (IDIS), Santiago de Compostela, Spain.

出版信息

Geriatr Nurs. 2022 Jul-Aug;46:157-165. doi: 10.1016/j.gerinurse.2022.05.008. Epub 2022 Jun 11.

DOI:10.1016/j.gerinurse.2022.05.008

PMID:35700683

Abstract

AIMS

This systematic review aimed to assess the effectiveness of educational interventions in type 2 diabetes specifically designed for community-dwelling older adults.

METHODS

In accordance with PRISMA guidelines, a systematic search of studies published between 2010 and 2021 was conducted across five electronic databases and manual sources. The study protocol was previously registered in PROSPERO (CRD42021288236).

RESULTS

Twelve papers matched the inclusion criteria and were appraised using MERSQI. The features of the educational programs were heterogeneous, and none complied with the ten suggested standards for diabetes self-management education and support. Comprehensive gerontological assessment was not considered. Outcomes included biomedical, psychosocial, behavioral, and knowledge measures. HbA1c and knowledge showed improvements with a high certainty level according to GRADE.

CONCLUSIONS

Structured DSME programs aimed at older adults have great potential, however there is still room to improve. Applying the principles of a comprehensive gerontological approach and the standards for DSME as continuous monitoring and support could increase their benefits.

摘要