Effects of patient decision aids in management of diabetes patients: a systematic review
10.3760/cma.j.cn115682-20240122-00412
- VernacularTitle:患者决策辅助工具在糖尿病患者管理中应用效果的系统评价
- Author:
Tingyuan KOU
1
;
Xiaoyun WANG
Author Information
1. 山西医科大学护理学院，太原 030001
- Keywords:
Diabetes mellitus;
Patient decision aids;
Doctor-patient shared decision making;
Evidence transformation;
Systematic review
- From:
Chinese Journal of Modern Nursing
2024;30(26):3585-3591
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review the effect of patient decision aids (PDA) in the management of diabetes patients, and summarize the core elements, application process, forms of its research and development.Methods:In January 2024, randomized controlled trials (RCTs) on PDA in diabetes patients were electronically searched in PubMed, Web of Science, CINAHL, Cochrane Library, Embase, PsycINFO and Scopus. Two researchers independently screened literature based on inclusion criteria and extracted data, and used the Cochrane Risk of Bias (version 5.1.0) for literature quality evaluation. Descriptive analysis was used to analyze the core elements and application process of diabetes patients' PDA, and systematically evaluate its clinical effect.Results:A total of 10 articles were included, including statin drug selection decision, diabetes drug selection decision, diabetes treatment decision, individualized decision, personalized self-management goal setting and other decision topics. The overall quality of the 10 articles was moderate, with one article rated as A and nine articles rated as B. According to qualitative analysis, the core content of patient PDA involved three aspects of information support, analysis of the pros and cons of the plan, and clarification of patient value, and the implementation process was summarized into seven stages. There were various forms of patient PDA, which had an impact on diabetes patients' knowledge, decision conflict, decision participation, self-efficacy, and risk perception, and the effect on blood glucose management and compliance had not yet been confirmed.Conclusions:As an effective means to promote shared decision-making, diabetes patients' PDA can help improve patients' knowledge, decision conflict, decision participation, self-efficacy, and risk perception. Numerous PDAs suitable for Chinese patients should be developed.
