Effects of shared decision-making in patients with type 2 diabetes mellitus: a Meta-analysis
10.3760/cma.j.cn211501-20240404-00790
- VernacularTitle:共享决策干预模式在2型糖尿病患者中应用效果的Meta分析
- Author:
Xin SUN
1
;
Chengcheng LI
;
Xin DUAN
;
Shiye ZENG
;
Zhenyu MENG
;
Jin HUANG
Author Information
1. 中南大学湘雅二医院临床护理学教研室，长沙 410011
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
Shared decision-making;
Meta-analysis
- From:
Chinese Journal of Practical Nursing
2025;41(2):119-127
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effects of shared decision-making in patients with type 2 diabetic mellitus.Methods:Databases including PubMed, Web of Science, Embase, Cochrane Library, CNKI, Wanfang Datebase, COVIP and SinoMed, for randomized controlled trials (RCTs) on the application of shared decision-making in patients with type 2 diabetic mellitus from inception to July 22, 2023, used R Studio software for meta-analysis.Results:A total of 14 RCTs and 2 606 patients with type 2 diabetic mellitus were included. The results of meta-analysis showed that the shared decision-making can alleviate the decision-making conflict of type 2 diabetic mellitus patients ( MD=-3.18, 95% CI -5.36 to -0.99, P<0.05), improve the decision-making self-efficacy ( MD=5.82, 95% CI 2.34 to 9.30, P<0.05), medication compliance ( RR=1.08, 95% CI 1.01 to 1.16, P<0.05), and diabetes-related knowledge ( SMD=0.46, 95% CI 0.16 to 0.75, P<0.05), reduce BMI ( MD=-0.75, 95% CI-1.33 to -0.17, P<0.05) and the HbA1c level ( MD=-0.45, 95% CI -0.65 to -0.24, P<0.05) in the 3-month follow-up. Conclusions:The shared decision-making improves the self-management in patients with type 2 diabetic mellitus. However, the long-term effect and potential risks of this model still need to be further studied. It is suggested that the application of shared decision-making in type 2 diabetic mellitus patients should be optimized in the future, and research on the long-term effects and potential risks of this model should be increased.
