Department of Emergency Medicine, Clinical Research Center For Emergency and Critical Care In Hunan Province, Hunan Provincial Institute of Emergency Medicine, Hunan Provincial Key Laboratory of Emergency and Critical Care Metabonomics, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha 410005, China.
Department of Nursing, Hunan Normal University School of Medicine, Changsha 410013, China.
Prim Care Diabetes. 2024 Dec;18(6):574-581. doi: 10.1016/j.pcd.2024.09.006. Epub 2024 Sep 25.
There is an ongoing debate regarding the influence of psychological interventions on glycemic control in middle-aged and elderly patients diagnosed with type 2 diabetes. To establish evidence-based medical support for the therapeutic application of these interventions, this meta-analysis seeks to assess the impact of psychological interventions on glycemic control in middle-aged and elderly individuals with type 2 diabetes.
This study systematically searched six electronic databases for randomized controlled studies of psychological interventions applied to middle-aged and elderly patients with type 2 diabetes, and the search time frames were all from the time of database creation to the search period from the establishment to March 2023. Two evaluators independently screened the literature evaluated the included studies' risk of bias, and carried out a meta-analysis using the RevMan5.4 program.
A total of 7 studies with 728 participants complied with the eligibility criteria. Meta-analysis showed that glycated glucagon was reduced in the psychological intervention group compared to the control group (MD = -0.26, 95 %CI:-0.51,-0.01,p = 0.01) with a statistically significant difference (p < 0.05). and their sensitivity analyses all showed stable and credible results.
This review concludes that psychological interventions, when applied to middle-aged and elderly individuals with type 2 diabetes, proved to be more effective in reducing HbA1c levels compared to standard care. Nevertheless, further evidence-based research is essential to elucidate the specific types of psychological interventions that contribute to improved glycemic control outcomes in middle-aged and older adults with type 2 diabetes.
关于心理干预对中老年 2 型糖尿病患者血糖控制的影响，目前仍存在争议。为了为这些干预措施的治疗应用提供循证医学支持，本荟萃分析旨在评估心理干预对中老年 2 型糖尿病患者血糖控制的影响。
本研究系统地检索了六个电子数据库中关于应用于中老年 2 型糖尿病患者的心理干预的随机对照研究，并将检索时间范围设定为从数据库创建时间到 2023 年 3 月的建立时期。两位评估员独立筛选文献，评估纳入研究的偏倚风险，并使用 RevMan5.4 程序进行荟萃分析。
共有 7 项符合纳入标准的研究，涉及 728 名参与者。荟萃分析显示，与对照组相比，心理干预组的糖化血红蛋白降低（MD=-0.26，95%CI：-0.51，-0.01，p=0.01），差异具有统计学意义（p<0.05）。且其敏感性分析均显示结果稳定且可靠。
本综述得出结论，与标准护理相比，心理干预应用于中老年 2 型糖尿病患者时，更能有效降低 HbA1c 水平。然而，需要进一步的基于证据的研究来阐明特定类型的心理干预如何改善中老年 2 型糖尿病患者的血糖控制结果。
