健康教育对糖尿病患者疗效影响的Meta分析

    Effect of Health Education Pathways on Diabetics: A Meta-Analysis

    • 摘要: 目的 探讨健康教育对糖尿病患者疗效的影响,为糖尿病的健康教育治疗途径提供依据。 方法 检索国内主要数据库,按一定标准对文献进行质量评估。采用RevMan5.0软件对纳入文献进行Meta分析。 结果 13篇文献符合纳入标准,Meta分析结果显示,健康教育干预组与对照组在空腹血糖加权均数差-1.15,95%可信区间(-1.38,-0.91),P<0.000 01、餐后2小时血糖加权均数差-2.63,95%可信区间(-3.50,-1.76),P<0.000 01、糖化血红蛋白加权均数差-0.74,95%可信区间(-0.88,-0.60) P<0.000 01、生活质量加权均数差6.84,95%可信区间(5.83,7.86),P<0.000 01、遵医行为加权均数差2.48,95%可信区间(1.75,3.51),P<0.000 01方面差异均有统计学意义。 结论 健康教育是治疗糖尿病的一种有效方法,由于纳入分析的文献有限且质量不高,健康教育对糖尿病疗效的影响尚需进一步验证。

       

      Abstract: Objective To provide a basis for the treatment of diabetes health education approach, the meta-analysis was used to evaluate the effect of health education on diabetic patients. Methods The domestic main databases were searched,the quality of all literatures was assessed according to certain standards, and all data were analyzed by RevMan5.0 software. Results Totally 13 literatures were included. The meta-analysis showed there were significant differences between the health education group and the control group in fasting blood glucose(FBG) WMD=-1.15,95%CI=(-1.38,-0.91),P<0.000 01,2-h postprandial blood glucose(2-PBG) WMD=-2.63,95%CI(-3.50,-1.76),P<0.00001, glycosylated hemoglobin(HbA1c)WMD=-0.74,95%CI(-0.88,-0.60) P<0.00001, quality of lifeWMD=6.84,95%CI(5.83,7.86),P<0.00001, compliant behaviorsWMD=2.48,95%CI(1.75,3.51),P<0.00001. Conclusion Health education is an effective method for treatment of diabetic patients. However, the quality of most literatures included in this review is low, the effect of health education on diabetic patients still needs to be further verified.

       

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