Abd Elqader Omaima, Srulovici Einav
The Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel.
J Adv Nurs. 2025 Mar;81(3):1222-1240. doi: 10.1111/jan.16423. Epub 2024 Sep 5.
To identify, describe, and critically evaluate the effects of various interventions on diabetes management outcomes among Arabs with diabetes.
A systematic review.
The search was conducted across three databases: PubMed, CINAHL and the Cochrane Collaboration in December 2023.
Screening involved randomised controlled trials and nonrandomised studies that focused on the effects of interventions on diabetes management among Arab with diabetes. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist guided the review process. Two researchers independently applied eligibility criteria. Data extraction captured key study details, and methodological quality was assessed using Downs and Black's checklist. This review is registered with the International Prospective Register of Systematic Reviews (PROSPERO; registration number CRD42024555668).
Thirty-five articles were reviewed, yielding 65 outcomes. Effective interventions included personalised care, patient-centred education and direct patient contact through lifestyle modifications, advice, feedback, motivational conversations and calls. These approaches improved haemoglobin A1c, fasting blood glucose, physical activity and medication adherence. Conversely, nonpersonalised remote monitoring and social media interventions showed no significant improvements. Notably, tailored nutritional and physical activity advice positively impacted body mass index and systolic blood pressure among Arab women with diabetes.
The findings underscore the effectiveness of personalised care and direct patient contact in optimising diabetes management among Arabs with diabetes.
This review highlights the importance of prioritising direct patient contact over remote methods such as social media in interventions on diabetes management among Arabs with diabetes. It emphasises the need for culturally sensitive approaches, particularly for women.
No patient or public contribution, as this study constitutes a review of existing research.
识别、描述并批判性评估各种干预措施对患有糖尿病的阿拉伯人糖尿病管理结果的影响。
系统评价。
2023年12月在三个数据库进行检索：PubMed、护理学与健康领域数据库（CINAHL）和考克兰系统评价协作网。
筛选包括随机对照试验和非随机研究，这些研究聚焦于干预措施对患有糖尿病的阿拉伯人糖尿病管理的影响。系统评价与Meta分析的首选报告项目（PRISMA）清单指导了综述过程。两名研究人员独立应用纳入标准。数据提取获取了关键研究细节，并使用唐斯和布莱克清单评估方法学质量。本综述已在国际前瞻性系统评价注册库（PROSPERO；注册号CRD42024555668）注册。
共审查了35篇文章，得出65项结果。有效的干预措施包括个性化护理、以患者为中心的教育以及通过生活方式改变、建议、反馈、激励性对话和电话进行直接患者接触。这些方法改善了糖化血红蛋白、空腹血糖、身体活动和药物依从性。相反，非个性化的远程监测和社交媒体干预未显示出显著改善。值得注意的是，量身定制的营养和身体活动建议对患有糖尿病的阿拉伯女性的体重指数和收缩压产生了积极影响。
研究结果强调了个性化护理和直接患者接触在优化患有糖尿病的阿拉伯人糖尿病管理方面的有效性。
本综述强调了在对患有糖尿病的阿拉伯人进行糖尿病管理干预时，优先考虑直接患者接触而非社交媒体等远程方法的重要性。它强调了采用文化敏感方法的必要性，尤其是针对女性。
无患者或公众贡献，因为本研究是对现有研究的综述。
