解放军护理杂志
解放軍護理雜誌
해방군호리잡지
Nursing Journal of Chinese People's Liberation Army
2015年
17期
1-5
,共5页
同伴教育%2 型糖尿病%社区%自我管理%Meta分析
同伴教育%2 型糖尿病%社區%自我管理%Meta分析
동반교육%2 형당뇨병%사구%자아관리%Meta분석
peer education%type 2 diabetes%community%self-management%meta-analysis
目的：评价同伴教育对社区2型糖尿病患者自我管理的影响.方法采用 Meta 分析的办法,检索多个中英文数据库,搜集相关临床随机对照试验和半随机对照实验,进行文献质量评价后,采用 RevMan 5．0软件进行数据分析.结果共纳入9篇文献,同伴教育干预组的自我管理能力提高效果明显高于对照组[WMD＝1．20,95％CI (0．71,1．68),P＜0．00001]；在 HbA1c方面,对不同干预周期做亚组分析,结果显示干预时间＞6个月的同伴教育能显著降低 HbA1c[WMD＝－1．43,95％CI (－1．74,－1．12),P＜0．00001],而干预时间＜6个月的同伴教育与对照组相比,没有显著性差异[WMD＝－0．24,95％CI (－0．48,0．01),P＝0．06].结论同伴教育在提高2型糖尿病患者自我管理能力上显示出优越性,同时长期的同伴教育(＞6个月的)对 HbA1c的降低效应显著高于传统健康教育方法,但短期的同伴教育(＜6个月)对 HbA1c 的降低效果还有待于临床开展多中心、大样本随机对照试验来证实.
目的：評價同伴教育對社區2型糖尿病患者自我管理的影響.方法採用 Meta 分析的辦法,檢索多箇中英文數據庫,搜集相關臨床隨機對照試驗和半隨機對照實驗,進行文獻質量評價後,採用 RevMan 5．0軟件進行數據分析.結果共納入9篇文獻,同伴教育榦預組的自我管理能力提高效果明顯高于對照組[WMD＝1．20,95％CI (0．71,1．68),P＜0．00001]；在 HbA1c方麵,對不同榦預週期做亞組分析,結果顯示榦預時間＞6箇月的同伴教育能顯著降低 HbA1c[WMD＝－1．43,95％CI (－1．74,－1．12),P＜0．00001],而榦預時間＜6箇月的同伴教育與對照組相比,沒有顯著性差異[WMD＝－0．24,95％CI (－0．48,0．01),P＝0．06].結論同伴教育在提高2型糖尿病患者自我管理能力上顯示齣優越性,同時長期的同伴教育(＞6箇月的)對 HbA1c的降低效應顯著高于傳統健康教育方法,但短期的同伴教育(＜6箇月)對 HbA1c 的降低效果還有待于臨床開展多中心、大樣本隨機對照試驗來證實.
목적：평개동반교육대사구2형당뇨병환자자아관리적영향.방법채용 Meta 분석적판법,검색다개중영문수거고,수집상관림상수궤대조시험화반수궤대조실험,진행문헌질량평개후,채용 RevMan 5．0연건진행수거분석.결과공납입9편문헌,동반교육간예조적자아관리능력제고효과명현고우대조조[WMD＝1．20,95％CI (0．71,1．68),P＜0．00001]；재 HbA1c방면,대불동간예주기주아조분석,결과현시간예시간＞6개월적동반교육능현저강저 HbA1c[WMD＝－1．43,95％CI (－1．74,－1．12),P＜0．00001],이간예시간＜6개월적동반교육여대조조상비,몰유현저성차이[WMD＝－0．24,95％CI (－0．48,0．01),P＝0．06].결론동반교육재제고2형당뇨병환자자아관리능력상현시출우월성,동시장기적동반교육(＞6개월적)대 HbA1c적강저효응현저고우전통건강교육방법,단단기적동반교육(＜6개월)대 HbA1c 적강저효과환유대우림상개전다중심、대양본수궤대조시험래증실.
Objective To evaluate the efficacy of peer education for type 2 diabetes patients in community on self-management.Methods By using meta analysis,several Chinese and English databases were searched,and to collect relevant clinical randomized controlled trials (RCTs)and quasi-RCTs,and the data were processed with RevMan 5.0.Results A total of nine trials were included.Compared with the control group,the intervention of peer education can significantly improve the self-management ability of type 2 di-abetes patients[WMD=1.20 ,95%CI (0.71 ,1.68),P<0.00001].The subgroup analysis showed long-term intervention of peer education(beyond 6 months)was more effective in decreasing HbA1c[WMD=-1.43 ,95%CI (-1.74,-1.12),P<0.00001],but the advantage did not present for relative short-term interven-tion (within 6 months)[WMD=-0.24,95%CI (-0.48,0.01),P=0.06].Conclusion Peer education is as-sociated with better self-management results among type 2 diabetes patients and long-term intervention of peer education (beyond 6 months)was more effective in decreasing HbA1c.However,multicentric large-sample randomized controlled trials of higher quality are needed to confirm short-term intervention of peer education (less than 6 months).
