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中低收入国家(LMICs)2 型糖尿病管理中的同伴支持:范围综述。

Peer Support for Type 2 Diabetes Management in Low- and Middle-Income Countries (LMICs): A Scoping Review.

机构信息

McMaster Evidence Review and Synthesis Team, School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.

Faculty of Physical Therapy, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.

出版信息

Glob Heart. 2024 Feb 20;19(1):20. doi: 10.5334/gh.1299. eCollection 2024.

Abstract

BACKGROUND

Although there is evidence of peer support in high-income countries, the use of peer support as an intervention for cardiometabolic disease management, including type 2 diabetes (T2DM), in low- and middle-income countries (LMICs), is unclear.

METHODS

A scoping review methodology was used to search the databases MEDLINE, Embase, Emcare, PsycINFO, LILACS, CDSR, and CENTRAL.

RESULTS

Twenty-eight studies were included in this scoping review. Of these, 67% were developed in Asia, 22% in Africa, and 11% in the Americas. The definition of peer support varied; however, peer support offered a social and emotional dimension to help individuals cope with negative emotions and barriers while promoting disease management.

CONCLUSIONS

Findings from this scopingreview highlight a lack of consistency in defining peer support as a component of CMD management in LMICs. A clear definition of peer support and ongoing program evaluation is recommended for future research.

摘要

背景

尽管有证据表明在高收入国家存在同伴支持,但在中低收入国家(LMICs)中,同伴支持作为一种针对心血管代谢疾病管理的干预措施,包括 2 型糖尿病(T2DM)的应用情况尚不清楚。

方法

本研究采用范围综述方法,检索了 MEDLINE、Embase、Emcare、PsycINFO、LILACS、CDSR 和 CENTRAL 数据库。

结果

本范围综述共纳入 28 项研究,其中 67%来自亚洲,22%来自非洲,11%来自美洲。同伴支持的定义各不相同;然而,同伴支持提供了一个社会和情感层面的支持,帮助个人应对负面情绪和障碍,同时促进疾病管理。

结论

本范围综述的结果表明,在 LMICs 中,将同伴支持定义为 CMD 管理的一个组成部分缺乏一致性。建议未来的研究明确同伴支持的定义并进行持续的项目评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/414a/10885823/66594d0ccf2b/gh-19-1-1299-g1.jpg

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