Effect of information technology-based transitional care on treatment effect of children and adolescents with type 1 diabetes mellitus: a Meta-analysis
10.3760/cma.j.cn115682-20210903-03984
- VernacularTitle:基于信息技术的延续护理对儿童及青少年1型糖尿病患者治疗效果影响的Meta分析
- Author:
Yacong LU
1
;
Yanling MAO
;
Huiwen LIU
;
Liting PAN
;
Bizhen CHEN
Author Information
1. 福建中医药大学护理学院,福州 350100
- Keywords:
Diabetes mellitus, type 1;
Child;
Adolescents;
Meta-analysis;
Information technology;
Transitional care;
Treatment effect
- From:
Chinese Journal of Modern Nursing
2022;28(6):745-751
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review the effect of information technology-based transitional care on the treatment effect of children and adolescents with type 1 diabetes mellitus (T1DM) , so as to provide a reliable scientific basis for their out-of-hospital transitional care.Methods:Randomized controlled trial (RCT) of information technology continued nursing intervention for children and adolescents with T1DM in PubMed, Web of Science, CNKI and other databases were searched by computer. The retrieval time was from the establishment of databases to July 31, 2021. According to inclusion and exclusion criteria, literature was screened and data was extracted. Cochrane was used to evaluate the risk of bias for literature quality. Meta-analysis was performed using RevMan 5.4 software, and subgroup analysis was conducted on intervention methods, duration and intervention objects of different ages.Results:Finally, a total of 12 literatures were included, and the quality of literatures was medium. A total of 1 353 cases were included. The results of meta-analysis showed that there were significant differences in the glycated hemoglobin value and the incidence of acute complications between the information technology transitional care group and the traditional nursing group ( P<0.05) . Subgroup analysis showed that different intervention methods (App, Internet platform) and duration of intervention had significant differences in the effect of out-of-hospital treatment for children and adolescents with T1DM ( P<0.05) . Conclusions:The use of information technology-based transitional care can improve out-of-hospital glycosylated hemoglobin value and reduce the incidence of acute complications in children and adolescents with T1DM. Different intervention methods (App, Internet platform) and different intervention time can improve the out-of-hospital treatment effect of children and adolescents with T1DM. It is suggested to promote information technology continuation care in out-of-hospital treatment of children and adolescents with T1DM.