Alotaibi Meshari Nawar, Almutairi Aminah Saeed, Alkhayal Fahad Abdulmajeed, Alqahtani Sulaiman Mohammed, Alshehri Fatimah Nasser, Kofi Mostafa
Department of Family and Community Medicine, Prince Sultan Military Medical City (PSMMC), Alsalam Center, Riyadh, Saudi Arabia.
Department of Family and Community Medicine, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia.
J Med Life. 2024 Oct;17(10):908-917. doi: 10.25122/jml-2024-0290.
Diabetes mellitus is a chronic and complex medical condition that can lead to significant morbidity and mortality. Maintaining an adequate blood glucose level is important for patients with diabetes, and to improve glycemic control, patients need proper support and health education, which are essential components of comprehensive diabetes care. We used a rigorous approach based on the PRISMA and Cochrane Handbook principles, specifically focusing on randomized controlled trials (RCTs) published in English from 2005 onwards. The statistical analysis was conducted using the RevMan software. Pooled risk ratios were calculated for dichotomous data, whereas mean differences were calculated for continuous data. Heterogeneity and publication bias were also evaluated. From an initial pool of 544 records, 368 studies were examined after eliminating duplicates. Ultimately, 24 studies were deemed suitable based on the inclusion criteria. These studies involved 2437 participants in the intervention group and 2305 people in the control group. The quality assessment indicated that 41.7% of the studies were categorized as low risk, 16.7% as high risk, and 41.7% had certain concerns regarding bias. The analyses revealed noteworthy decreases in HbA1c levels in the intervention group at several time points, particularly showing improvements after 3 months. Egger's regression indicated the presence of possible publication bias. The results emphasize the crucial impact of health education and mentorship interventions on enhancing glycemic control in individuals with type 2 diabetes. Interventions focused on empowering patients proved to be especially effective in enhancing diabetes management outcomes.
糖尿病是一种慢性复杂的疾病，可导致严重的发病率和死亡率。维持适当的血糖水平对糖尿病患者很重要，为改善血糖控制，患者需要适当的支持和健康教育，这是综合糖尿病护理的重要组成部分。我们采用了基于PRISMA和Cochrane手册原则的严谨方法，特别关注2005年以后以英文发表的随机对照试验（RCT）。使用RevMan软件进行统计分析。对二分数据计算合并风险比，对连续数据计算均值差。还评估了异质性和发表偏倚。从最初的544条记录中，剔除重复记录后审查了368项研究。最终，根据纳入标准，24项研究被认为合适。这些研究涉及干预组的2437名参与者和对照组的2305人。质量评估表明，41.7%的研究被归类为低风险，16.7%为高风险，41.7%在偏倚方面存在一定问题。分析显示，干预组在几个时间点的糖化血红蛋白（HbA1c）水平显著下降，尤其是在3个月后有所改善。Egger回归表明可能存在发表偏倚。结果强调了健康教育和指导干预对改善2型糖尿病患者血糖控制的关键影响。事实证明，以增强患者能力为重点的干预措施在改善糖尿病管理结果方面特别有效。
