目的:评估糖化血红蛋白(HbA1c),血压,自我效能感,以及对社区居住的糖尿病患者使用远程医疗服务的生活质量效率。
方法:Cochrane图书馆,WebofScience,PsycINFO,PubMed,EMBASE,CINAHL,和Scopus数据库从成立日期到2023年6月22日进行了系统搜索。两名评估人员独立选择并评估了符合条件的研究。在PROSPERO中注册了协议。
结果:对包括3586名受试者的17项研究的分析显示,远程护理显著改善了糖尿病患者的管理。与对照组相比,干预护理对HbA1c有显著益处(MD=-0.30,95%CI=-0.44--0.17,16项研究),收缩压(MD=-2.45,95%CI=-4.53--0.36,P=0.02),自我效能(MD=0.36,95%CI=0.04-0.67,P=0.03)和生活质量(MD=0.37,95%CI=0.05-0.70,P=0.02)。然而,舒张压(MD=-1.37,95%CI=-3.34--0.61,P=0.17)未发现显着影响。
结论:远程医疗对改善社区糖尿病患者的自我管理是有效的,提出了实现自我管理的有效手段。
To evaluate the glycated hemoglobin (HbA1c), blood pressure, self-efficacy, and quality of life efficacy of using telecare services for community-dwelling people with diabetes.
Cochrane Library, Web of Science, PsycINFO, PubMed, EMBASE, CINAHL, and Scopus databases were systematically searched from their inception dates to June 22, 2023. Two evaluators independently selected and evaluated eligible studies. A protocol was registered in PROSPERO.
An analysis of 17 studies that included 3586 subjects showed that telecare significantly improved the management of patients with diabetes. Compared to controls, intervention care had significant benefits regarding HbA1c (MD = -0.30, 95 % CI = -0.44 - -0.17, 16 studies), systolic blood pressure (MD = -2.45, 95 % CI = -4.53 - -0.36, P = 0.02), self-efficacy (MD = 0.36, 95 % CI = 0.04 - 0.67, P = 0.03) and quality of life (MD = 0.37, 95 % CI = 0.05 - 0.70, P = 0.02). However, diastolic blood pressure (MD = -1.37, 95 % CI = -3.34 - -0.61, P = 0.17) was not found to be significantly affected.
Telecare is effective in improving self-management among community-dwelling people with diabetes, suggesting an effective means for them to achieve self-management.