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.
Geriatr Nurs. 2022 Jul-Aug;46:157-165. doi: 10.1016/j.gerinurse.2022.05.008. Epub 2022 Jun 11.
This systematic review aimed to assess the effectiveness of educational interventions in type 2 diabetes specifically designed for community-dwelling older adults.
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).
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.
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.
本系统评价旨在评估专门针对社区居住的老年 2 型糖尿病患者的教育干预措施的有效性。
根据 PRISMA 指南，在五个电子数据库和手工来源中进行了 2010 年至 2021 年期间发表的研究的系统检索。研究方案之前已在 PROSPERO（CRD42021288236）中进行了注册。
符合纳入标准的有 12 篇论文，并使用 MERSQI 进行了评估。教育计划的特点存在异质性，并且没有一项符合糖尿病自我管理教育和支持的十个建议标准。没有考虑全面的老年评估。结果包括生物医学、心理社会、行为和知识测量。HbA1c 和知识根据 GRADE 显示出具有较高确定性水平的改善。
针对老年人的结构化 DSME 计划具有很大的潜力，但仍有改进的空间。应用全面老年医学方法的原则和 DSME 的标准作为持续监测和支持，可以增加其益处。
