重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2015年
24期
3381-3384
,共4页
糖尿病%延续护理%护理工作%Meta 分析
糖尿病%延續護理%護理工作%Meta 分析
당뇨병%연속호리%호리공작%Meta 분석
diabetes%transitional care%nursing services%Meta analysis
目的：综合评价对我国糖尿病患者实施延续护理的干预效果。方法遵循 Cochrane 干预评价手册,严格制定文献检索策略,收集2000~2014年在中国生物医学数据库、万方、知网、维普数据库公开发表的关于糖尿病延续护理的随机对照试验。依据纳入和排除标准筛选文献,应用 RevMan5.0软件对数据进行 Meta 分析。结果8篇文献符合纳入标准,Meta 分析显示干预6个月后,干预组与对照组在并发症低血糖发生率[RR=0.69,95%CI (0.21,2.27),P =0.540]差异无统计学意义,在空腹血糖[WMD =-1.54,95%CI (-2.89,-0.19),P =0.030]差异有统计学意义。干预12个月后,干预组与对照组在并发症低血糖发生率[RR=0.34,95%CI (0.16,0.72),P =0.005],在空腹血糖[WMD =-1.03,95%CI (-2.78,0.72),P =0.250],在糖化血红蛋白[WMD =-1.73,95%CI (-2.43,-1.04),P <0.01]均有差异有统计学意义。干预18个月后,干预组与对照组在并发症低血糖发生率[RR=0.28,95%CI (0.12,0.67),P =0.004]差异有统计学意义。结论对我国对糖尿病患者进行延续护理干预能够降低患者的空腹血糖、糖化血红蛋白,减小低血糖的发生率,但对低血糖发生率的干预时间需大于6个月。
目的：綜閤評價對我國糖尿病患者實施延續護理的榦預效果。方法遵循 Cochrane 榦預評價手冊,嚴格製定文獻檢索策略,收集2000~2014年在中國生物醫學數據庫、萬方、知網、維普數據庫公開髮錶的關于糖尿病延續護理的隨機對照試驗。依據納入和排除標準篩選文獻,應用 RevMan5.0軟件對數據進行 Meta 分析。結果8篇文獻符閤納入標準,Meta 分析顯示榦預6箇月後,榦預組與對照組在併髮癥低血糖髮生率[RR=0.69,95%CI (0.21,2.27),P =0.540]差異無統計學意義,在空腹血糖[WMD =-1.54,95%CI (-2.89,-0.19),P =0.030]差異有統計學意義。榦預12箇月後,榦預組與對照組在併髮癥低血糖髮生率[RR=0.34,95%CI (0.16,0.72),P =0.005],在空腹血糖[WMD =-1.03,95%CI (-2.78,0.72),P =0.250],在糖化血紅蛋白[WMD =-1.73,95%CI (-2.43,-1.04),P <0.01]均有差異有統計學意義。榦預18箇月後,榦預組與對照組在併髮癥低血糖髮生率[RR=0.28,95%CI (0.12,0.67),P =0.004]差異有統計學意義。結論對我國對糖尿病患者進行延續護理榦預能夠降低患者的空腹血糖、糖化血紅蛋白,減小低血糖的髮生率,但對低血糖髮生率的榦預時間需大于6箇月。
목적：종합평개대아국당뇨병환자실시연속호리적간예효과。방법준순 Cochrane 간예평개수책,엄격제정문헌검색책략,수집2000~2014년재중국생물의학수거고、만방、지망、유보수거고공개발표적관우당뇨병연속호리적수궤대조시험。의거납입화배제표준사선문헌,응용 RevMan5.0연건대수거진행 Meta 분석。결과8편문헌부합납입표준,Meta 분석현시간예6개월후,간예조여대조조재병발증저혈당발생솔[RR=0.69,95%CI (0.21,2.27),P =0.540]차이무통계학의의,재공복혈당[WMD =-1.54,95%CI (-2.89,-0.19),P =0.030]차이유통계학의의。간예12개월후,간예조여대조조재병발증저혈당발생솔[RR=0.34,95%CI (0.16,0.72),P =0.005],재공복혈당[WMD =-1.03,95%CI (-2.78,0.72),P =0.250],재당화혈홍단백[WMD =-1.73,95%CI (-2.43,-1.04),P <0.01]균유차이유통계학의의。간예18개월후,간예조여대조조재병발증저혈당발생솔[RR=0.28,95%CI (0.12,0.67),P =0.004]차이유통계학의의。결론대아국대당뇨병환자진행연속호리간예능구강저환자적공복혈당、당화혈홍단백,감소저혈당적발생솔,단대저혈당발생솔적간예시간수대우6개월。
Objective To evaluate comprehensively the effectiveness of transitional care for patients with diabetic in china. Methods Cochrane Handbook for systematic reviews of interventions was followed,and strictly designed search strategies,pub-lished literatures were searched through Chinese biomedical literature database(CBM),Wanfang,CNKI,VIP database.These data-bases were searched to collect the randomized controlled trials of transitional care for patients with diabetic in China.The retrieval time was limited from 2000 to 2014,All the literatures were selected according to the strictly designed strategies .A Meta analysis was performed by RevMan5.0 software.Results Totally 8 trials were included.Meta analysis showed that 6 months after the in-tervention,the continuing nursing and the control group in the incidence of complications of hypoglycemia had no significant differ-ence[RR= 0.69,95%CI (0.21,2.27 ),P = 0.540 ],while fasting glucose had significant difference [WMD = - 1.54,95%CI (-2.89,-0.1 9),P =0.030].12 months after the intervention,the continuing nursing and control groups in the incidence of com-plications of hypoglycemia [RR = 0.34,95%CI (0.1 6,0.72 ),P = 0.005 ],in fasting plasma glucose [WMD = - 1.03,95%CI (-2.78,0.72),P =0.250],in glycated hemoglobin [WMD =-1.73,95%CI (-2.43,-1.04),P <0.01]had significantly differ-ence.18 months after the intervention,the continuing nursing and control groups in the incidence of complications of hypoglycemia were significantly different[RR=0.28,95%CI (0.12,0.67 ),P = 0.004].Conclusion Transitional care intervention on patients with diabetes can reduce fasting blood glucose,glycated hemoglobin,and the incidence of complications,but the complications of in-tervention time should be greater than 6 months.
