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首页> 外文期刊>Nurse Media: Journal of Nursing >Review: Self-management Support Program on Dietary Behaviors in Patients with Type 2 Diabetes Mellitus
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Review: Self-management Support Program on Dietary Behaviors in Patients with Type 2 Diabetes Mellitus

机译：评论：2型糖尿病患者饮食行为的自我管理支持计划

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Background: Dietary behaviors are the cornerstone in diabetes management. Diabetes self-management support program in which patients play an active role to determine their health care is an important strategy to improve dietary behaviors in type 2 diabetes mellitus (T2DM) patients. Its elements which contribute to the successfulness of the program need to be identified. Purpose: To review and identify the elements of self-management support program to improve dietary behaviors in T2DM patients. Method: An integrative review was conducted. Relevant studies published in English language during last 10-year, measured dietary behaviors in T2DM patients, and retrieved from CINAHL and PubMed were included. Results: 13 experimental studies and 3 meta-analysis studies were reviewed. Goal setting and action planning combined with other strategies (brief counseling and problem solving) seemed more effective to improve dietary behaviors. Either trained lay people or clinicians could lead the program although clinician-led programs were common. Contents and materials of the education vary across the studies. The effects on dietary behaviors could be detected in short term duration of program (<6 months). Continuing follow-up was essential element which face-to-face follow-up as the most common strategy. The utilization of technology such as telephone-call and internet based follow-up might provide more benefits for patients. Conclusion: Diabetes self-management support program is effective to improve dietary behaviors in T2DM patients. Further research is needed to test the effectiveness of goal setting strategy and technology utilization for follow-up strategy such telephone call in Indonesian T2DM population.
机译：背景：饮食行为是糖尿病管理的基石。糖尿病自我管理支持计划（其中患者在确定自己的医疗保健方面发挥积极作用）是改善2型糖尿病（T2DM）患者饮食行为的重要策略。必须确定有助于该计划成功的要素。目的：审查并确定自我管理支持计划的要素，以改善T2DM患者的饮食行为。方法：进行了综合审查。包括最近10年以英语发表的相关研究，测量的T2DM患者饮食行为以及从CINAHL和PubMed检索的相关研究。结果：回顾了13项实验研究和3项荟萃分析研究。目标设定和行动计划与其他策略（简短的咨询和解决问题的方法）相结合，似乎对改善饮食行为更有效。尽管由临床医生主导的计划很常见，但受过训练的非专业人员或临床医生都可以领导该计划。教育的内容和材料因研究而异。对饮食行为的影响可以在短期计划（<6个月）内检测到。持续跟进是面对面跟进最常见的策略。利用电话和基于互联网的随访等技术可能为患者带来更多好处。结论：糖尿病自我管理支持程序可有效改善T2DM患者的饮食行为。需要进一步的研究来检验目标制定策略和后续策略（如印尼T2DM人口中的电话）的技术利用率。

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