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Abstract：
BACKGROUND: Tele-coaching has been used by nurses as one of the accessible and sustainable interventions for individuals with type 2 diabetes mellitus. However, evidence has been lacking to demonstrate its effectiveness in mitigating the related cardiovascular risk factors.
OBJECTIVE: To systematically evaluate the effectiveness of nurse-led tele-coaching on the modifiable cardiovascular risk factors (glycated hemoglobin, blood pressure, & lipid levels) among individuals with type 2 diabetes mellitus.
METHODS: A systematic search of eight databases (Cochrane Library, PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Scopus, PsycINFO, Web of Science, & ProQuest Dissertations and Theses) was conducted for randomized controlled trials of nurse-led tele-coaching for individuals with type 2 diabetes mellitus published in English up to October 30, 2018. A meta-analysis was conducted for the primary outcomes of the studies.
RESULTS: Twelve randomized controlled trials were selected that included 3,030 participants. Results from the meta-analysis revealed statistically significant reductions for not only glycated hemoglobin (pooled mean difference = -1.23, 95% CI: -1.63 to -0.8, I2 = 0%, p < .00) but also systolic blood pressure (SBP; pooled mean difference = -2.22, 95% CI: -3.95 to -0.49, I2 = 0%, p < .01); such findings are supportive of the use of nurse-led tele-coaching on the primary outcome.
UNASSIGNED: Results from the meta-analyses have shown that nurse-led tele-coaching is an effective and accessible intervention that could improve the glycemic control and SBP among individuals with type 2 diabetes mellitus.
OBJECTIVE: To systematically evaluate the effectiveness of nurse-led tele-coaching on the modifiable cardiovascular risk factors (glycated hemoglobin, blood pressure, & lipid levels) among individuals with type 2 diabetes mellitus.
METHODS: A systematic search of eight databases (Cochrane Library, PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Scopus, PsycINFO, Web of Science, & ProQuest Dissertations and Theses) was conducted for randomized controlled trials of nurse-led tele-coaching for individuals with type 2 diabetes mellitus published in English up to October 30, 2018. A meta-analysis was conducted for the primary outcomes of the studies.
RESULTS: Twelve randomized controlled trials were selected that included 3,030 participants. Results from the meta-analysis revealed statistically significant reductions for not only glycated hemoglobin (pooled mean difference = -1.23, 95% CI: -1.63 to -0.8, I2 = 0%, p < .00) but also systolic blood pressure (SBP; pooled mean difference = -2.22, 95% CI: -3.95 to -0.49, I2 = 0%, p < .01); such findings are supportive of the use of nurse-led tele-coaching on the primary outcome.
UNASSIGNED: Results from the meta-analyses have shown that nurse-led tele-coaching is an effective and accessible intervention that could improve the glycemic control and SBP among individuals with type 2 diabetes mellitus.
摘要：
背景：远程指导已被护士用作2型糖尿病患者可获得和可持续的干预措施之一。然而,一直缺乏证据证明其在缓解相关心血管危险因素方面的有效性.
目的：系统评估护士主导的远程辅导对可改变的心血管危险因素（糖化血红蛋白，血压,和血脂水平）在2型糖尿病患者中。
方法：对八个数据库的系统搜索(CochraneLibrary，PubMed,Embase,护理和相关健康文献的累积指数，Scopus,PsycINFO,WebofScience,＆ProQuest论文和论文）进行了以护士为主导的针对2型糖尿病患者的远程指导的随机对照试验，截至2018年10月30日以英文发表。对研究的主要结果进行了荟萃分析。
结果：选择了12项随机对照试验，包括3,030名参与者。荟萃分析结果显示，不仅糖化血红蛋白的降低具有统计学意义（合并平均差=-1.23，95％CI：-1.63至-0.8，I2=0％，p<.00），还包括收缩压（SBP；合并平均差=-2.22，95％CI：-3.95至-0.49，I2=0％，p<.01）；这些发现支持在主要结果上使用护士主导的远程教练。
■荟萃分析的结果表明，护士主导的远程辅导是一种有效且可获得的干预措施，可以改善2型糖尿病患者的血糖控制和SBP。
目的：系统评估护士主导的远程辅导对可改变的心血管危险因素（糖化血红蛋白，血压,和血脂水平）在2型糖尿病患者中。
方法：对八个数据库的系统搜索(CochraneLibrary，PubMed,Embase,护理和相关健康文献的累积指数，Scopus,PsycINFO,WebofScience,＆ProQuest论文和论文）进行了以护士为主导的针对2型糖尿病患者的远程指导的随机对照试验，截至2018年10月30日以英文发表。对研究的主要结果进行了荟萃分析。
结果：选择了12项随机对照试验，包括3,030名参与者。荟萃分析结果显示，不仅糖化血红蛋白的降低具有统计学意义（合并平均差=-1.23，95％CI：-1.63至-0.8，I2=0％，p<.00），还包括收缩压（SBP；合并平均差=-2.22，95％CI：-3.95至-0.49，I2=0％，p<.01）；这些发现支持在主要结果上使用护士主导的远程教练。
■荟萃分析的结果表明，护士主导的远程辅导是一种有效且可获得的干预措施，可以改善2型糖尿病患者的血糖控制和SBP。
