Effects of different forms of self-management education on glycosylated hemoglobin in diabetic patients: a Meta-analysis
10.3760/cma.j.issn.1674-2907.2019.09.018
- VernacularTitle:不同方式的自我管理教育对糖尿病患者糖化血红蛋白影响的Meta分析
- Author:
Haijun JIN
1
;
Bingmei GUO
;
Congcong LIU
;
Yun ZHU
Author Information
1. 山东大学附属省立医院内科门诊
- Keywords:
Diabetes mellitus;
Self-management education;
Glycated hemoglobin A;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2019;25(9):1139-1144
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To evaluate the effects of different forms of self-management education on glycosylated hemoglobin (HbA1c) in diabetic patients. Methods? The related clinical randomized controlled trials (RCTs) were retrieved in China National Knowledge Infrastructure (CNKI), VIP, WanFang data and Chinese Biomedical Database (CBM) (key words:diabetes/ self-management/ health education/behavior/ psychology) and in Embase, PubMed, Cochrane (key words:of intervention/ knowledge/ behavior/psychological/ diabetes/ DSME) from building the database to June 2018 as well as in related journals by hand. Then, we evaluated the quality of literature and carried out data analysis with the RevMan5.0. Results? Finally, a total of 16 literatures (evaluating the effects of self-management education in diabetic patients with the outcome indexes of HbA1c) were included with 9 of them in the subgroup of behavior intervention, 4 in the subgroup of elementary knowledge cognitive intervention and 3 in the subgroup of mental intervention. Besides, 3 literatures with the level A and 13 with the level B. Meta-analysis showed that the HbA1c of the subgroup of behavior intervention was with WMD=-0.78, 95%CI (-1.14, -0.41)(P＜ 0.05), HbA1c of the subgroup of elementary knowledge cognitive intervention was with WMD=-0.55, 95%CI (-1.06, -0.04)(P＜ 0.05) and HbA1c of the subgroup of mental intervention was with WMD=-0.55, 95%CI (-1.24, 0.15)(P＞ 0.05). Conclusions? Behavior intervention and elementary knowledge cognitive intervention all have positive effects on HbA1c of diabetic patients. However, whether mental intervention has effects on patients＇ HbA1c has not gotten a final conclusion. We should implement comprehensive self-management education for diabetic patients from many aspects including behavior, cognition and psychology to achieve an ideal effect.
