Effectiveness of family intervention for self-management and glycaemic control in patients with type 2 diabetes: a Meta-analysis and systematic review
10.3760/cma.j.cn114798-20240407-00220
- VernacularTitle:家庭干预对2型糖尿病患者的自我管理和血糖控制效果：Meta分析和系统综述
- Author:
Lan ZHU
1
;
Xueying RU
;
Zhigang PAN
;
Fulai SHEN
;
Wei ZHANG
;
Yu FENG
Author Information
1. 复旦大学附属中山医院全科医学科，上海 200032
- Keywords:
Type 2 diabetes mellitus;
Family intervention;
Meta-analysis;
Self-management behaviour;
Glycated haemoglobin;
Body mass index
- From:
Chinese Journal of General Practitioners
2024;23(10):1061-1068
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of family intervention on self-management and glycaemic control in patients with type 2 diabetes mellitus (T2DM).Methods:Clinical interventional trials on the family intervention for T2DM patients were searched in PubMed, Medline, Embase, Cochrance libraries, the CNKI, and the Wan Fang Database from January 2016 to June 2023. Literature was screened according to the inclusion and exclusion criteria. Self-management behavior, BMI and glycated haemoglobin of T2DM patients were used as outcome indicators. Meta-analysis and mapping were performed using Review Manager 5.3 software. A systematic review of the literature on indicators of self-management behavior measured using other instruments except Summary of Diabetes Self-Care Activities.Results:A total of 1 342 relevant papers were retrieved and 13 papers were included in the analysis, involving 1 454 patients, 740 in the intervention group and 714 in the control group. Meta-analysis showed that the inclusion of home-based intervention helped adult T2DM patients to improve self-management ( WMD=5.03, 95% CI:4.43-5.63, P<0.001) and reduce glycated hemoglobin compared with the hospital-patient dichotomous model ( WMD=-0.77, 95% CI:-1.32--0.21, P=0.007), but the effect on BMI was unclear ( WMD=-0.38, 95% CI:-1.04-0.28, P=0.25). The results of the systematic review supported that home-based intervention improving self-management behaviors of adult T2DM patients. Conclusion:Family intervention can improve self-management behaviors and reduce glycated haemoglobin levels in adults T2DM patients.
