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首页> 外文期刊>Diabetes care >Self-Management Education for Adults With Type 2 Diabetes: A meta-analysis of the effect on glycemic control.
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Self-Management Education for Adults With Type 2 Diabetes: A meta-analysis of the effect on glycemic control.

机译：成人2型糖尿病的自我管理教育：对血糖控制作用的荟萃分析。

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OBJECTIVE-To evaluate the efficacy of self-management education on GHb in adults with type 2 diabetes. RESEARCH DESIGN AND METHODS-We searched for English language trials in Medline (1980-1999), Cinahl (1982-1999), and the Educational Resources Information Center database (ERIC) (1980-1999), and we manually searched review articles, journals with highest topic relevance, and reference lists of included articles. Studies were included if they were randomized controlled trials that were published in the English language, tested the effect of self-management education on adults with type 2 diabetes, and reported extractable data on the effect of treatment on GHb. A total of 31 studies of 463 initially identified articles met selection criteria. We computed net change in GHb, stratified by follow-up interval, tested for trial heterogeneity, and calculated pooled effects sizes using random effects models. We examined the effect of baseline GHb, follow-up interval, and intervention characteristics on GHb. RESULTS-On average, the intervention decreased GHb by 0.76% (95% CI 0.34-1.18) more than the control group at immediate follow-up; by 0.26% (0.21% increase - 0.73% decrease) at 1-3 months of follow-up; and by 0.26% (0.05-0.48) at >/=4 months of follow-up. GHb decreased more with additional contact time between participant and educator; a decrease of 1% was noted for every additional 23.6 h (13.3-105.4) of contact. CONCLUSIONS-Self-management education improves GHb levels at immediate follow-up, and increased contact time increases the effect. The benefit declines 1-3 months after the intervention ceases, however, suggesting that learned behaviors change over time. Further research is needed to develop interventions effective in maintaining long-term glycemic control.
机译：目的-评估自我管理教育对成人2型糖尿病患者GHb的疗效。研究设计和方法-我们在Medline（1980-1999），Cinahl（1982-1999）和教育资源信息中心数据库（ERIC）（1980-1999）中搜索了英语语言测试，并手动搜索了评论文章，期刊具有最高主题相关性，以及所包含文章的参考列表。如果研究是以英语发布的随机对照试验，测试了自我管理教育对2型糖尿病成人的效果并报告了治疗对GHb效果的可提取数据，则将其纳入研究。总共463项初步鉴定的文章进行了31项研究符合选择标准。我们计算了GHb的净变化，按随访间隔进行分层，测试了试验的异质性，并使用随机效应模型计算了合并效应的大小。我们检查了基线GHb，随访间隔和GHb干预特征的影响。结果：平均而言，立即随访时，干预组的GHb降低了0.76％（95％CI 0.34-1.18）。随访1-3个月增加0.26％（增加0.21％-减少0.73％）;随访> / = 4个月时增加0.26％（0.05-0.48）。随着参与者与教育者之间的额外接触时间，GHb下降更多;每增加23.6 h（13.3-105.4）接触，就会减少1％。结论自我管理教育可以在立即随访时提高GHb水平，而增加的接触时间则可以提高效果。干预停止后1-3个月收益下降，但这表明学习行为会随着时间而改变。需要进行进一步的研究以开发有效维持长期血糖控制的干预措施。

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